PMID- 32039736 OWN - NLM STAT- MEDLINE DCOM- 20201125 LR - 20240328 IS - 1746-1596 (Electronic) IS - 1746-1596 (Linking) VI - 15 IP - 1 DP - 2020 Feb 10 TI - Primary pulmonary myxoid sarcoma with EWSR1-CREB1 fusion: a case report and review of the literature. PG - 15 LID - 10.1186/s13000-020-00930-2 [doi] LID - 15 AB - BACKGROUND: Primary pulmonary myxoid sarcoma (PPMS) is an extremely rare lung sarcoma that is characterized in most cases by recurrent balanced chromosomal translocation t(2;22)(q33;q12) leading to the oncogenic fusion gene EWSR1-CREB1. CASE PRESENTATION: We report a case of PPMS with molecular confirmation using fluorescence in situ hybridization (FISH) and DNA sequencing in a 45-year-old female patient. Computer tomography (CT) scanning revealed a peripheral circumscribed solid mass of 2.1 x 2 cm in the right lung superior lobe. Histologically, the tumor cells ranged from stellate, polygonal to chondrocyte-like or physaliferous-like, forming reticular network of delicate lace-like cellular strands and cords in abundant myxoid stroma. The tumor cell immunophenotype was positive for vimentin, EMA and negative for CK-pan, TTF-1, CAM5.2, S-100, calponin, SMA, desmin, ALK, CD31 and CD34. Molecular analysis demonstrated EWSR1-CREB1 gene fusion in this tumor. During 38 months of follow-up, the patient was alive with no clinical or radiological evidence of recurrence or metastasis. CONCLUSION: PPMS is a rare low-grade sarcoma with distinct histological and genetic features. We add another case to the literature of this rare tumor and report for the first time occurrence of chondrocyte-like and physaliferous-like tumor cells in this tumor, thus enriching its morphologic and cytologic spectrum. FAU - Chen, Zhenwei AU - Chen Z AD - Department of Pathology, Jinhua Municipal Central Hospital, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, People's Republic of China. FAU - Yang, Yihui AU - Yang Y AD - Department of Pathology, Jinhua Municipal Central Hospital, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, People's Republic of China. FAU - Chen, Rongming AU - Chen R AD - Department of Pathology, the People's Hospital of Changfeng County, Changfeng County, Anhui Province, People's Republic of China. FAU - Ng, Chi Sing AU - Ng CS AUID- ORCID: 0000-0002-0097-5479 AD - Department of Pathology, St. Teresa's Hospital, Kowloon, Hong Kong. ngcspeter@gmail.com. FAU - Shi, Hongqi AU - Shi H AD - Department of Pathology, Jinhua Municipal Central Hospital, 351 Mingyue Road, Jinhua, 321000, Zhejiang Province, People's Republic of China. LA - eng PT - Case Reports PT - Journal Article PT - Review DEP - 20200210 PL - England TA - Diagn Pathol JT - Diagnostic pathology JID - 101251558 RN - 0 (Biomarkers, Tumor) RN - 0 (CREB1 protein, human) RN - 0 (Cyclic AMP Response Element-Binding Protein) RN - 0 (EWSR1 protein, human) RN - 0 (RNA-Binding Protein EWS) SB - IM MH - Biomarkers, Tumor/analysis MH - Cyclic AMP Response Element-Binding Protein/*metabolism MH - Female MH - Humans MH - Middle Aged MH - Neoplasm Recurrence, Local/diagnosis/*metabolism/pathology MH - RNA-Binding Protein EWS/*metabolism MH - Sarcoma/diagnosis/*pathology MH - Soft Tissue Neoplasms/pathology PMC - PMC7008573 OTO - NOTNLM OT - CREB1 OT - Chondrocyte-like OT - EWSR1 OT - Myxoid OT - Physaliferous-like OT - Pulmonary OT - Sarcoma COIS- The authors declare that they have no competing interests. EDAT- 2020/02/11 06:00 MHDA- 2020/11/26 06:00 PMCR- 2020/02/10 CRDT- 2020/02/11 06:00 PHST- 2019/08/18 00:00 [received] PHST- 2020/02/05 00:00 [accepted] PHST- 2020/02/11 06:00 [entrez] PHST- 2020/02/11 06:00 [pubmed] PHST- 2020/11/26 06:00 [medline] PHST- 2020/02/10 00:00 [pmc-release] AID - 10.1186/s13000-020-00930-2 [pii] AID - 930 [pii] AID - 10.1186/s13000-020-00930-2 [doi] PST - epublish SO - Diagn Pathol. 2020 Feb 10;15(1):15. doi: 10.1186/s13000-020-00930-2.