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Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
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Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
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The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
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The cross-sectional anatomy of the spinal cord offers a detailed view of its complex structure and function within the central nervous system. At the core of the spinal cord lies the gray matter, characterized by its butterfly or "H"-shaped appearance in cross-section. This central region is enveloped by white matter, with the overall structure divided into symmetrical halves by the dorsal median sulcus and the ventral median fissure.
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CIC-NUTM1 Sarcomas Affecting the Spine.

Shaomin Yang1, LiLi Liu2, Yu Yan2

  • 1From the Department of Pathology, School of Basic Medical Sciences, Third Hospital, Peking University Health Science Center, Beijing, China (Yang, Zhang).

Archives of Pathology & Laboratory Medicine
|September 15, 2021
PubMed
Summary
This summary is machine-generated.

Newly identified CIC-NUTM1 sarcomas are rare bone tumors with aggressive behavior and a tendency to affect the axial skeleton. Further research is needed to understand their distinct characteristics compared to CIC-DUX4 sarcoma.

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Area of Science:

  • Oncology
  • Pathology
  • Genetics

Background:

  • CIC-NUTM1 sarcoma is a rare, newly recognized sarcoma with limited documented cases.
  • Its clinical, pathologic, and behavioral aspects are not well-defined, particularly in comparison to classic CIC-DUX4 sarcoma.

Observation:

  • Three adult cases of CIC-NUTM1 sarcoma involving the spine were analyzed.
  • Tumors were locally advanced, affecting bone and soft tissues without metastasis or spinal cord involvement.
  • Histologically, tumors showed monomorphic small to medium-sized cells with a lobulated architecture and myxoid stroma.

Findings:

  • Next-generation sequencing and FISH confirmed CIC-NUTM1 fusions in all three cases.
  • Immunohistochemistry revealed nuclear NUT staining.
  • The median survival was 10.7 months, indicating aggressive disease.
  • A review of literature (n=11) showed a predilection for axial skeleton involvement (8/11 cases).

Implications:

  • CIC-NUTM1 sarcomas exhibit distinct anatomic tropism for the axial skeleton.
  • These sarcomas demonstrate unfavorable behavior compared to classic CIC sarcoma.
  • Understanding these distinctions is crucial for accurate diagnosis and treatment strategies.