Van Treeck Benjamin J, Said Samar, Yasir Saba
Department of Laboratory Medicine and Pathology, Division of Anatomic Pathology, Mayo Clinic, Rochester, MN, USA.
Case Rep Pathol. 2022 Feb 18;2022:8815771. doi: 10.1155/2022/8815771. eCollection 2022.
Malignant peripheral nerve sheath tumor (MPNST) is a rare aggressive type of sarcoma. The epithelioid variant of MPNST has a distinctive morphology and immunophenotype, which can be a diagnostic challenge when it arises in an unusual location. Awareness of these morphologic entities is essential to make an accurate diagnosis. Here, we report a case of epithelioid MPNST involving the liver. The tumor displayed rhabdoid morphology and an unusual immunophenotype. The report also discusses histopathologic features, molecular alterations, and the differential diagnoses of this rare entity.
恶性外周神经鞘瘤(MPNST)是一种罕见的侵袭性肉瘤。MPNST的上皮样变体具有独特的形态学和免疫表型,当其发生在不寻常的部位时可能会带来诊断挑战。认识这些形态学特征对于准确诊断至关重要。在此,我们报告一例累及肝脏的上皮样MPNST病例。该肿瘤表现出横纹肌样形态和不寻常的免疫表型。本报告还讨论了这种罕见实体的组织病理学特征、分子改变及鉴别诊断。