Article ; Online: Keratin-positive giant cell-rich tumors of soft tissue with HMGA2::NCOR2 fusions.
Journal of cutaneous pathology
2023 Volume 50, Issue 11, Page(s) 977–982
Abstract: Background: Giant cell tumor of soft tissue (GCT-ST) is a rare soft tissue neoplasm that is morphologically similar to but genetically distinct from giant cell tumor of bone. A novel keratin-positive GCT-ST (KPGCT-ST) harboring HMGA2::NCOR2 fusions was ... ...
Abstract | Background: Giant cell tumor of soft tissue (GCT-ST) is a rare soft tissue neoplasm that is morphologically similar to but genetically distinct from giant cell tumor of bone. A novel keratin-positive GCT-ST (KPGCT-ST) harboring HMGA2::NCOR2 fusions was recently discovered. Fewer than 30 cases have been described; herein is reported an additional seven. Methods: Cases diagnosed as GCT-ST were retrieved from institutional archives and consultation files. The histopathologic characteristics were assessed, and the electronic medical record was reviewed. Results: Seven tumors were identified in six women and one man with a median age of 23 years. All patients underwent excision; no recurrences or metastases were noted during a median follow-up period of 7 months. Histopathologically, the tumors were characterized by a multinodular proliferation of keratin-positive mononuclear cells with evenly admixed osteoclast-like giant cells and absent neoplastic bone. A fibrous capsule with lymphoid cuffing was frequently seen. Foamy macrophages, inflammation, hemorrhage, and hemosiderin were variably present. The HMGA2::NCOR2 fusion was detected in all cases. Conclusions: Our findings support previously reported hypotheses that KPGCT-ST is a spectrum of the same entity as the recently described xanthogranulomatous epithelial tumor. Although follow-up data are limited, to date, KPGCT-ST appears to follow an indolent course. |
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MeSH term(s) | Male ; Humans ; Female ; Young Adult ; Adult ; Keratins ; Giant Cell Tumors/pathology ; Soft Tissue Neoplasms/pathology ; Diagnosis, Differential ; Giant Cells/pathology ; Nuclear Receptor Co-Repressor 2 |
Chemical Substances | Keratins (68238-35-7) ; NCOR2 protein, human ; Nuclear Receptor Co-Repressor 2 |
Language | English |
Publishing date | 2023-07-26 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 187078-6 |
ISSN | 1600-0560 ; 0303-6987 |
ISSN (online) | 1600-0560 |
ISSN | 0303-6987 |
DOI | 10.1111/cup.14497 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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