Undifferentiated Pleomorphic Sarcoma as an Uncommon Extracolonic Presentation in Lynch Syndrome with MLH1 Germline Mutation: A Case Study - Takeaways - MDSpire

Undifferentiated Pleomorphic Sarcoma as an Uncommon Extracolonic Presentation in Lynch Syndrome with MLH1 Germline Mutation: A Case Study

  • By

  • Yuxing Chen

  • Yilin Xiao

  • Ruihan Li

  • Mengjiao Wu

  • Yan Zong

  • Min Jin

  • Xiaona Chang

  • Hongli Liu

  • April 21, 2026

  • 0 min

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  • 1

    Undifferentiated pleomorphic sarcoma (UPS) is a rare and aggressive soft tissue sarcoma, often occurring in the extremities.

  • 2

    Lynch syndrome (LS) is linked to mutations in mismatch repair genes, significantly increasing cancer risk, primarily colorectal cancer.

  • 3

    This case presents a 60-year-old male with LS and a germline MLH1 mutation who developed synchronous colorectal cancer and retroperitoneal UPS.

  • 4

    Molecular testing revealed mismatch repair deficiency in two cancers, suggesting UPS may be an extracolonic manifestation of LS.

  • 5

    The findings emphasize the need for comprehensive molecular testing in atypical LS-associated tumors to guide diagnosis and treatment.

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