A Case of Congenital Infantile Fibrosarcoma of the Bowel Presenting as a Neonatal Intussusception

Pathol Int. 2017 Dec;67(12):644-648. doi: 10.1111/pin.12603. Epub 2017 Nov 1.

Abstract

Neonatal intussusception of the intestinal tract is rare. However, most neonatal intussusceptions have an organic lead point. For the lead point to be a neoplasm is extremely rare. We report a case that presented with neonatal intussusception with a congenital infantile fibrosarcoma as the lead point. The detection of ETV6-NTRK3 gene fusion was useful, although the definitive diagnosis was achieved by a comprehensive evaluation including this gene analysis, standard histology and immunohistochemistry. Neonatal intussusception should be suspected to be caused by a neoplasm. If pathological diagnosis is difficult, molecular analysis should be utilized to diagnose congenital infantile fibrosarcoma.

Keywords: ETV6-NTRK3 fusion; congenital infantile fibrosarcoma; ileocecal lesion; intussusception; neonate.

Publication types

  • Case Reports

MeSH terms

  • Colon / diagnostic imaging
  • Colon / pathology
  • ETS Translocation Variant 6 Protein
  • Female
  • Fibrosarcoma / congenital
  • Fibrosarcoma / diagnostic imaging*
  • Fibrosarcoma / genetics
  • Fibrosarcoma / pathology
  • Gene Fusion
  • Humans
  • Infant, Newborn
  • Intussusception / congenital
  • Intussusception / diagnostic imaging*
  • Intussusception / genetics
  • Intussusception / pathology
  • Proto-Oncogene Proteins c-ets / genetics*
  • Receptor, trkC / genetics*
  • Repressor Proteins / genetics*
  • Ultrasonography

Substances

  • Proto-Oncogene Proteins c-ets
  • Repressor Proteins
  • Receptor, trkC