PMID- 16373056 OWN - NLM STAT- MEDLINE DCOM- 20060524 LR - 20191109 IS - 1699-048X (Print) IS - 1699-048X (Linking) VI - 7 IP - 10 DP - 2005 Nov TI - Lumbar region intra-spinal primitive neuroectodermal tumour (PNET) combined with neurofibromatosis type 1. PG - 464-7 AB - Primitive neuroectodermal tumours (PNET) are aggressive neoplasias that are diagnosed, usually, in infancy. Their appearance in adulthood is rare and, exceptionally, in association with neurofibromatosis type I (NF-1). We present a case of a 37 year-old man with NF-1 combined with PNET in the intra-arachidial lumbar region. Diagnosis was by Nuclear Magnetic Resonance (NMR) and biopsy of soft tissue mass which showed a PNET with undifferentiated round cells and immunohistochemically positive for CD99, neurone-specific enolase, synaptophys in and LEU-7. Surgery was performed with spine decompression and resection of 80% of the tumour, with symptoms improvement. Radiotherapy was administered on the lumbosacral column, but only up to 30 Gy because of severe actinic enteritis and pan-cytopenia grade III. Six months later, the patient was hospitalized with deterioration in his overall clinical status with multi-organ involvement. The patient died and an autopsy was performed. The initial treatment of the PNET is surgery and, if possible, the radical extirpation of the tumour. Administration of radiotherapy and chemotherapy appears to increase survival. We comment on the clinical, histological, cytological and immunohistochemical aspects together with a review of the literature. To the best of our knowledge this is the first documentation of such a case. FAU - Bohn Sarmiento, Uriel AU - Bohn Sarmiento U AD - Servicio de Oncologia Medica, Hospital General Universitario de Gran Canaria Dr. Negrin. Las Palmas de Gran Canaria, Espana. ubosar@telefonica.net FAU - Aguiar Bujanda, David AU - Aguiar Bujanda D FAU - Camacho Galan, Rafael AU - Camacho Galan R FAU - Rivero Vera, Jose C AU - Rivero Vera JC FAU - Aguiar Morales, Jose AU - Aguiar Morales J LA - eng PT - Case Reports PT - Journal Article PT - Review PL - Italy TA - Clin Transl Oncol JT - Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico JID - 101247119 SB - IM MH - Adult MH - Humans MH - Lumbar Vertebrae MH - Male MH - Neoplasms, Multiple Primary/*diagnosis MH - Neuroectodermal Tumors, Primitive/*diagnosis MH - Neurofibromatosis 1/*diagnosis MH - Spinal Cord Neoplasms/*diagnosis RF - 13 EDAT- 2005/12/24 09:00 MHDA- 2006/05/25 09:00 CRDT- 2005/12/24 09:00 PHST- 2005/12/24 09:00 [pubmed] PHST- 2006/05/25 09:00 [medline] PHST- 2005/12/24 09:00 [entrez] AID - 13080776 [pii] AID - 10.1007/BF02716598 [doi] PST - ppublish SO - Clin Transl Oncol. 2005 Nov;7(10):464-7. doi: 10.1007/BF02716598.