Alveolar soft part sarcoma (ASPS) is a rare sarcoma (malignant
tumor of connective tissue) of an unclear cause. It is among the least common sarcomas, representing 0.2-1 percent of large
studies of soft tissue sarcomas. Since there are approximately 8000 soft-tissue sarcomas per year that arise in the United
States, this means there are on the order of 15 to 80 cases nationwide each year. It is characterized by a painless mass in
the leg or buttock, with a particular affinity to travel to the lungs as multiple nodules, presumably while the sarcoma itself
is still small. ASPS is very rare, because it involves a specific breaking and joining event between two chromosomes, called
an "unbalanced translocation". This finding is observed in essentially all ASPS examined so far. This finding cannot
be passed on to children, however, as the finding occurs only in the tumor, not in the normal cells; in addition, there are
no families in which multiple family members have ASPS.
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