Spindle Cell Carcinoma of the Lower Limbs: A Case Report

Niu F, Lai W, Fu Q, Ma G and Gao Y

Department of Orthopedics, Yangzhou Hospital of Traditional Chinese Medicine, China
Department of Orthopedics, Xinyuan Hospital of Traditional Chinese Medicine, China

^*Correspondance to: Feng Niu 

 PDF  Full Text DOI: 10.25107/2474-1647.1074

Abstract

Spindle cell carcinoma of the leg is an unusual tumor. It is important to increase the recognition of the disease and improve the level of clinical diagnosis. The current study presents a case of spindle cell carcinoma with clinical, imaging and pathological examination. A 65-year-old female presented to the Xinyuan Hospital of Traditional Chinese Medicine suffering from a mass about 3.6×1.6×15.0cm on the back skin of her right leg for approximately one month. Imaging examination by leg computed tomography scan revealed a 9.2×4.0 cm solid mass infiltrated into the subcutaneous fat in the back skin of the right tibia. The patient underwent resection of the mass on March, 17, 2013. Patholocical examination showed the tumor was composed of small, elongated cords in a tightly packed arrangement. Tumor cells were smaller and cube-shaped or oval and lowgrade nuclei. Occasionally, necrosis and foam cell infiltration were observed. The tumor reappeared after one year later, a 6.0×7.0×15.0 cm mass appeared on the incision with bleeding after slight impact. The patient underwent resection of the recurrence tumor and VSD covered the defect of the skin on July, 10, 2014. The tumor reappeared again after 10 days and bleeded combined necrosis and foul smell. Continuing bleeding cause the hypoproteinemia and emaciation for 3 months. The patient cannot endure the miserable experience and asked amputation of the knee on Oct, 16, 2014. However, a new mass about 1.6×1.6×1.0 cm was found in the skin of the popliteal fossa. Patholocical examination showed the new mass was spindle cell carcinoma. However, subsequent chemotherapy, radiation and immunohistochemical markers weren’t underwent because of the patient’s personal economic reason. The patient is still alive after 7 months without evidence of disease, we don’t receive the recurrence report after the follow investigation until now.

Keywords

Spindle cell carcinoma; Lower limbs; Skin

Cite the article

Niu F, Lai W, Fu Q, Ma G, Gao Y. Spindle Cell Carcinoma of the Lower Limbs: A Case Report. Clin Surg. 2016; 1: 1074.