PMID- 31112350 OWN - NLM STAT- MEDLINE DCOM- 20200214 LR - 20221207 IS - 1098-2264 (Electronic) IS - 1045-2257 (Print) IS - 1045-2257 (Linking) VI - 58 IP - 11 DP - 2019 Nov TI - The histologic spectrum of soft tissue spindle cell tumors with NTRK3 gene rearrangements. PG - 739-746 LID - 10.1002/gcc.22767 [doi] AB - NTRK3-rearranged tumors other than infantile fibrosarcomas (IFSs) harboring the canonical ETV6-NTRK3 fusions are uncommon, and include mainly inflammatory myofibroblastic tumors and gastrointestinal stromal tumors. Herein, we describe an additional subset of seven tumors sharing NTRK3 gene rearrangements. The cohort included five females and two males (age range 1-67 years). Tumors were located in extremities, trunk, retroperitoneum, or intra-abdominal. In all tumors, fluorescence in situ hybridization (FISH) revealed rearrangements in NTRK3 accompanied by NTRK3 amplification in two cases. In three cases, RNA sequencing identified a fusion transcript composed of NTRK3 exon 14 fused to ETV6, TFG, and TPM4, respectively, retaining the NTRK3 kinase domain. All tumors were positive for pan-TRK by immunohistochemistry (IHC). Two cases showed low- to intermediate-grade histology composed of monomorphic spindle cells arranged in a patternless architecture, stromal bands, and perivascular rings of hyalinized collagen and coexpression of S100 and CD34. The remaining five cases were high-grade fascicular monomorphic spindle cell sarcomas, morphologically somewhat reminiscent of either malignant peripheral nerve sheath tumors (MPNSTs) or fibrosarcomas (FSs). Two high-grade NTRK3 sarcomas showed aggressive clinical behavior with development of lung metastases. Identification of high-grade NTRK3-rearranged sarcomas is clinically important, since the development of selective NTRK inhibitors has opened new avenues for targeted therapy. Although IHC for pan-TRK can be applied as a screening tool, molecular studies are recommended for a conclusive diagnosis of NTRK-rearranged neoplasms. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Suurmeijer, Albert J AU - Suurmeijer AJ AD - Department of Pathology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. FAU - Dickson, Brendan C AU - Dickson BC AUID- ORCID: 0000-0003-2269-6216 AD - Department of Pathology & Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. FAU - Swanson, David AU - Swanson D AD - Department of Pathology & Laboratory Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada. FAU - Zhang, Lei AU - Zhang L AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Sung, Yun-Shao AU - Sung YS AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. FAU - Huang, Hsuan-Ying AU - Huang HY AD - Department of Anatomical Pathology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, Kaohsiung City, Taiwan. FAU - Fletcher, Christopher D AU - Fletcher CD AD - Department of Pathology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. FAU - Antonescu, Cristina R AU - Antonescu CR AUID- ORCID: 0000-0002-9717-8205 AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York. LA - eng GR - P30 CA008748/CA/NCI NIH HHS/United States GR - P50 CA140146/CA/NCI NIH HHS/United States GR - P50 CA217694/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190604 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (Receptor, trkC) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers, Tumor/genetics MH - Child MH - Child, Preschool MH - Female MH - Gene Fusion/genetics MH - Gene Rearrangement/genetics MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence/methods MH - Infant MH - Male MH - Middle Aged MH - Receptor, trkC/*genetics/metabolism MH - Sarcoma/*genetics/*pathology MH - Soft Tissue Neoplasms/genetics MH - Exome Sequencing PMC - PMC6733642 MID - NIHMS1040149 OTO - NOTNLM OT - NTRK3 OT - fibrosarcoma OT - fusion OT - malignant peripheral nerve sheath tumor OT - sarcoma EDAT- 2019/05/22 06:00 MHDA- 2020/02/15 06:00 PMCR- 2020/11/01 CRDT- 2019/05/22 06:00 PHST- 2019/04/16 00:00 [received] PHST- 2019/05/18 00:00 [revised] PHST- 2019/05/20 00:00 [accepted] PHST- 2019/05/22 06:00 [pubmed] PHST- 2020/02/15 06:00 [medline] PHST- 2019/05/22 06:00 [entrez] PHST- 2020/11/01 00:00 [pmc-release] AID - 10.1002/gcc.22767 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2019 Nov;58(11):739-746. doi: 10.1002/gcc.22767. Epub 2019 Jun 4.