A Case Study of a Rare Undifferentiated Spindle Cell Sarcoma of the Penis: Establishment and Characterization of Patient-Derived Models

Author:

Sousa Ariane Cavalcante dos Santos123,Fernandes Bruno Leonardo Nascimento Correa4,da Silva Jeronimo Paulo Assis5,Stevanato Filho Paulo Roberto6,Coimbra Luiza Bitencourt de Carvalho Terci12ORCID,de Oliveira Beserra Adriano123,Alvarenga Ana Luiza12,Maida Giovanna12,Guimaraes Camila Tokumoto12,Nakamuta Ingrid Martinez37,Marchi Fabio Albuquerque8,Alves Camila9,Lichtenfels Martina9,de Farias Caroline Brunetto9,Kupper Bruna Elisa Catin6ORCID,Costa Felipe D’Almeida610ORCID,de Mello Celso Abdon Lopes6ORCID,Carraro Dirce Maria12,Torrezan Giovana Tardin12ORCID,Lopes Ademar6,dos Santos Tiago Goss12ORCID

Affiliation:

1. Clinical and Functional Genomics Group, A.C. Camargo Cancer Center, Sao Paulo 01508-010, Brazil

2. National Institute of Science and Technology in Oncogenomics and Therapeutic Innovation, Sao Paulo 01508-010, Brazil

3. Graduate Program of A.C.Camargo Cancer Center, Sao Paulo 01508-020, Brazil

4. Sao Lucas Hospital Rede D’Or, Sergipe Emergency Hospital Oncology Service, Aracaju 49081-060, Brazil

5. Real Institute of Oncological Surgery, Real Hospital Português, Recife 52010-075, Brazil

6. Reference Center in Sarcoma, A.C. Camargo Cancer Center, Sao Paulo 01509-900, Brazil

7. Heart Institute of School of Medicine, University of Sao Paulo, Sao Paulo 05403-900, Brazil

8. Center for Translational Research in Oncology, Cancer Institute of the State of Sao Paulo (ICESP), Clinical Hospital of the University of Sao Paulo Medical School (HCFMUSP), Sao Paulo 01246-000, Brazil

9. Ziel Biosciences, Department of Translational Research, Porto Alegre 90050-170, Brazil

10. Anatomic Pathology Department, A.C. Camargo Cancer Center, Sao Paulo 01509-900, Brazil

Abstract

Rare sarcomas present significant treatment challenges compared to more prevalent soft tissue sarcomas due to limited treatment options and a poor understanding of their biology. This study investigates a unique case of penile sarcoma, providing a comprehensive morphological and molecular analysis. Through the creation of experimental patient-derived models—including patient-derived xenograft (PDX), 3D, and monolayer primary cultures—we successfully replicated crucial molecular traits observed in the patient’s tumor, such as smooth muscle actin and CD99 expression, along with specific mutations in genes like TSC2 and FGFR4. These models are helpful in assessing the potential for an in-depth exploration of this tumor’s biology. This comprehensive approach holds promise in identifying potential therapeutic avenues for managing this exceedingly rare soft tissue sarcoma.

Funder

Sao Paulo State Research Support Foundation

National Council for Scientific and Technological Development

Programa Nacional de Apoio à Atenção Oncológica

Higher Education Improvement Coordination

Publisher

MDPI AG

Reference24 articles.

1. Fletcher, C.D.M., Krishnan, K., and Mertens, U.F. (2002). Pathology and Genetics of Tumours of Soft Tissue and Bone, WHO.

2. The 2020 WHO Classification of Tumors of Soft Tissue: Selected Changes and New Entities;Choi;Adv. Anat. Pathol.,2021

3. Soft Tissue Sarcomas in Children;Kapoor;Indian J. Pediatr.,2012

4. Sarcoma Classification: An Update Based on the 2013 World Health Organization Classification of Tumors of Soft Tissue and Bone;Doyle;Cancer,2014

5. WHO (2020). WHO Classification of Tumours Editorial Board WHO Classification of Tumours, WHO. [5th ed.].

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