Complexity of PEComas Diagnostic approach, molecular background, clinical management

Utpatel, Kirsten and Calvisi, D. F. and Koehler, G. and Kuehnel, T. and Niesel, A. and Verloh, N. and Vogelhuber, M. and Neu, R. and Hosten, N. and Schildhaus, H-U and Dietmaier, W. and Evert, M. (2020) Complexity of PEComas Diagnostic approach, molecular background, clinical management. PATHOLOGE, 41 (SUPPL). pp. 9-19. ISSN 0172-8113, 1432-1963

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Abstract

Perivascular epithelioid cell neoplasms (PEComas) are a family of mesenchymal neoplasms with features of both melanotic and smooth muscle differentiation. PEComa morphology is highly variable and encompasses epithelioid to spindle cells often with clear cytoplasm and prominent nucleoli. Molecularly, most PEComas are defined by a loss of function of the TSC1/TSC2 complex. Additionally, a distinct small subset of PEComas harboring rearrangements of theTFE3(Xp11) gene locus has been identified. By presenting a series of three case reports with distinct features, we demonstrate diagnostic pitfalls as well as the importance of molecular work-up of PEComas because of important therapeutic consequences.

Item Type: Article
Uncontrolled Keywords: ENDOMETRIAL STROMAL SARCOMAS; EPITHELIOID CELL TUMORS; MTOR INHIBITION; GENE FUSION; TFE3; ACTIVATION; NEOPLASMS; Genetic translocation; Immunohistochemistry; Lymphangioleiomyomatosis; Perivascular epithelioid cell neoplasms; TOR serine-threonine kinases
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Medicine > Abteilung für Thoraxchirurgie
Medicine > Lehrstuhl für Innere Medizin III (Hämatologie und Internistische Onkologie)
Medicine > Lehrstuhl für Pathologie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 22 Mar 2021 11:57
Last Modified: 22 Mar 2021 11:57
URI: https://pred.uni-regensburg.de/id/eprint/44481

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