PMID- 24179658 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20131101 LR - 20211021 IS - 2036-3605 (Print) IS - 2036-3613 (Electronic) IS - 2036-3605 (Linking) VI - 5 IP - 3 DP - 2013 TI - Fatal malignant metastastic epithelioid angiomyolipoma presenting in a young woman: case report and review of the literature. PG - e46 LID - 10.4081/rt.2013.e46 [doi] LID - e46 AB - Epithelioid angiomyolipomas (EAMLs) are rare mesenchymal tumors whose malignant variant is extremely uncommon and highly aggressive. Treatment strategies include chemo radiation, transcatheter arterial embolization and surgical resection, which has remained the mainstay treatment. Targeted therapies including mammalian target of rapamycin (mTOR) inhibitors such as Temsirolimus may offer some hope for progressive malignant EAMLs that are not amenable to other treatment modalities. We report a fatal case in a young female who presented with rapidly progressive metastatic EAML that did not respond to mTOR therapy. The literature has shown reduction in tumor burden with the use of mTOR inhibitors, but unfortunately due to the rarity of malignant EAML, a meaningful approach to treatment remains challenging. FAU - Wyluda, Edward AU - Wyluda E AD - Department of Internal Medicine, Penn State Milton S. Hershey Medical Center , Hershey, PA, USA. FAU - Baquero, Giselle AU - Baquero G FAU - Lamparella, Nicholas AU - Lamparella N FAU - Abendroth, Catherine AU - Abendroth C FAU - Drabick, Joseph AU - Drabick J LA - eng PT - Case Reports DEP - 20130926 PL - England TA - Rare Tumors JT - Rare tumors JID - 101526926 PMC - PMC3804821 OTO - NOTNLM OT - malignant epithelioid angiomyolipomas OT - perivascular epithelioid cell tumors OT - targeted therapy EDAT- 2013/11/02 06:00 MHDA- 2013/11/02 06:01 PMCR- 2013/09/26 CRDT- 2013/11/02 06:00 PHST- 2013/05/21 00:00 [received] PHST- 2013/05/30 00:00 [accepted] PHST- 2013/11/02 06:00 [entrez] PHST- 2013/11/02 06:00 [pubmed] PHST- 2013/11/02 06:01 [medline] PHST- 2013/09/26 00:00 [pmc-release] AID - 10.4081/rt.2013.e46 [doi] PST - epublish SO - Rare Tumors. 2013 Sep 26;5(3):e46. doi: 10.4081/rt.2013.e46. eCollection 2013.