Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report

Primitive myxoid mesenchymal tumor of infancy (PMMTI) is a rare soft tissue neoplasm of intermediate malignant potential occurring predominantly in infants and younger children. It can show aggressive local infiltration of surrounding structures and frequent relapses but rare metastasis. Morphologic...

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Main Author: Malini Goswami
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:https://journals.lww.com/10.4103/ijpm.ijpm_471_23
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author Malini Goswami
author_facet Malini Goswami
author_sort Malini Goswami
collection DOAJ
description Primitive myxoid mesenchymal tumor of infancy (PMMTI) is a rare soft tissue neoplasm of intermediate malignant potential occurring predominantly in infants and younger children. It can show aggressive local infiltration of surrounding structures and frequent relapses but rare metastasis. Morphologically, it is characterized by a proliferation of immature mesenchymal cells in a myxoid background with mild cytologic atypia and branching vessels. The tumor cells demonstrate immunoreactivity with vimentin and BCOR, however, are negative for more specific lineage markers. Its molecular hallmark is BCOR-internal tandem duplication. Previously classified as infantile fibrosarcoma/undifferentiated sarcoma, the association with BCOR-ITD has led to its reclassification as part of a distinct entity—”Sarcoma with BCOR Genetic Alterations”—in the 2020 WHO Classification of Soft Tissue Tumours. Here is a report of a case of a 2-year-old boy with a recurrent scalp mass identified as a primitive myxoid mesenchymal tumor of infancy.
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spelling doaj-art-c39be88cea2c48cd95fda44cefb6cde62025-01-10T10:28:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302024-12-0167493293510.4103/ijpm.ijpm_471_23Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case reportMalini GoswamiPrimitive myxoid mesenchymal tumor of infancy (PMMTI) is a rare soft tissue neoplasm of intermediate malignant potential occurring predominantly in infants and younger children. It can show aggressive local infiltration of surrounding structures and frequent relapses but rare metastasis. Morphologically, it is characterized by a proliferation of immature mesenchymal cells in a myxoid background with mild cytologic atypia and branching vessels. The tumor cells demonstrate immunoreactivity with vimentin and BCOR, however, are negative for more specific lineage markers. Its molecular hallmark is BCOR-internal tandem duplication. Previously classified as infantile fibrosarcoma/undifferentiated sarcoma, the association with BCOR-ITD has led to its reclassification as part of a distinct entity—”Sarcoma with BCOR Genetic Alterations”—in the 2020 WHO Classification of Soft Tissue Tumours. Here is a report of a case of a 2-year-old boy with a recurrent scalp mass identified as a primitive myxoid mesenchymal tumor of infancy.https://journals.lww.com/10.4103/ijpm.ijpm_471_23mesenchymalmyxoidprimitivetumor
spellingShingle Malini Goswami
Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report
Indian Journal of Pathology and Microbiology
mesenchymal
myxoid
primitive
tumor
title Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report
title_full Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report
title_fullStr Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report
title_full_unstemmed Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report
title_short Primitive myxoid mesenchymal tumor of infancy, an enigmatic entity: A case report
title_sort primitive myxoid mesenchymal tumor of infancy an enigmatic entity a case report
topic mesenchymal
myxoid
primitive
tumor
url https://journals.lww.com/10.4103/ijpm.ijpm_471_23
work_keys_str_mv AT malinigoswami primitivemyxoidmesenchymaltumorofinfancyanenigmaticentityacasereport