BCOR-CCNB3 fusion–positive sarcoma treated with chemotherapy and carbon-ion radiotherapy: a case report of long-term disease control of a cervical spine case with a 12-year follow-up - Takeaways - MDSpire
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Management of BCOR-CCNB3 Fusion-Positive Sarcoma with Chemotherapy and Carbon-Ion Radiotherapy: A Case Study Highlighting Long-Term Disease Control in a Cervical Spine Patient Over 12 Years

  • By

  • Naoki Oike

  • Reiko Imai

  • Akira Ogose

  • Takashi Ariizumi

  • Yudai Murayama

  • Tomohiro Miyazaki

  • Kazunaga Kimura

  • Hajime Umezu

  • Hiroyuki Kawashima

  • June 10, 2026

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  • 1

    BCOR–CCNB3 fusion-positive sarcoma (BCS) is a rare subtype of undifferentiated round-cell sarcoma primarily affecting children and adolescents.

  • 2

    The patient, a 14-year-old boy, was treated with systemic chemotherapy and carbon-ion radiotherapy (CIRT), achieving long-term disease control.

  • 3

    CIRT delivered a total dose of 70.4 Gy in 16 fractions, resulting in no evidence of residual tumor after treatment completion.

  • 4

    More than 12 years post-treatment, the patient remains asymptomatic without neurological deficits, local recurrence, or distant metastasis.

  • 5

    This case is the first reported instance of BCS treated with CIRT, suggesting it may be a promising option for challenging cases.

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