PMID- 32386774 OWN - NLM STAT- MEDLINE DCOM- 20210401 LR - 20210401 IS - 1618-0631 (Electronic) IS - 0344-0338 (Linking) VI - 216 IP - 6 DP - 2020 Jun TI - Rare variants of solitary fibrous tumor. PG - 152989 LID - S0344-0338(20)30498-2 [pii] LID - 10.1016/j.prp.2020.152989 [doi] AB - OBJECTIVE: Some cases of solitary fibrous tumor (SFT) exhibit unusual histologic features that may cause diagnostic difficulty, such as fascicular monotonous spindle cells accompanied by hyalinized blood vessels and numerous evenly distributed mast cells, and features mimicking myxoid liposarcoma. Awareness of these features is important for reaching correct diagnosis of similar cases. METHODS: Three cases of SFT with the above unusual features were retrieved from our consult files for review, including H&E slides and immunohistochemical stains. In addition, FISH analysis for SS18-SSX (SYT), DDIT3 and MDM2 were performed. Furthermore, formalin-fixed paraffin-embedded (FFPE) tissue sections were tested for 8 fusion variants of NAB2-STAT6 by qualitative endpoint reverse-transcriptase (RT)-PCR. RESULTS: Neoplastic cells from all 3 cases are positive for CD34, CD99, and STAT6 immunohistochemically. In addition, the tumors are positive for NAB2-STAT6 fusion gene. Mast cells from the first case possess nonneoplastic phenotype and are positive for CD117 and tryptase staining but negative for CD25. CONCLUSIONS: The three cases studied here represent rare types of SFT, which differ from classical "pattern-less" pattern of SFT. Correct diagnosis required a combination of CD34 and STAT6 immunostaining and NAB2-STAT6 fusion gene analysis. CI - Copyright (c) 2020 Elsevier GmbH. All rights reserved. FAU - Tian, Sufang AU - Tian S AD - Department of Pathology, Zhongnan Hospital of Wuhan University, China; Wuhan University Center for Pathology and Molecular Diagnostics, Wuhan, Hubei Province, China. Electronic address: usa2005tiansufang@hotmail.com. FAU - Guo, Jianchun AU - Guo J AD - Department of Pathology, Zhongnan Hospital of Wuhan University, China; Wuhan University Center for Pathology and Molecular Diagnostics, Wuhan, Hubei Province, China. Electronic address: znpathowhu@163.com. FAU - Tang, Xianbin AU - Tang X AD - Department of Pathology, Taihe Hospital, Shiyan, Hubei Province, China. Electronic address: tangxianbin@yeah.net. FAU - Liu, Yufei AU - Liu Y AD - Department of Pathology, Yichang Central People's Hospital, Yichang, Hubei Province, China. Electronic address: 402762573@qq.com. FAU - Chen, Honglei AU - Chen H AD - Department of Pathology, Zhongnan Hospital of Wuhan University, China; Wuhan University Center for Pathology and Molecular Diagnostics, Wuhan, Hubei Province, China. Electronic address: hl-chen@whu.edu.cn. FAU - Cai, Yuxiang AU - Cai Y AD - Department of Pathology, Zhongnan Hospital of Wuhan University, China; Wuhan University Center for Pathology and Molecular Diagnostics, Wuhan, Hubei Province, China. Electronic address: grzzlbl@sina.com. FAU - Xiao, Shu-Yuan AU - Xiao SY AD - Department of Pathology, Zhongnan Hospital of Wuhan University, China; Wuhan University Center for Pathology and Molecular Diagnostics, Wuhan, Hubei Province, China; Department of Pathology, University of Chicago, Chicago, IL, 60637, USA. Electronic address: pathoznwhu@sina.com. LA - eng PT - Case Reports PT - Journal Article DEP - 20200425 PL - Germany TA - Pathol Res Pract JT - Pathology, research and practice JID - 7806109 RN - 0 (Biomarkers, Tumor) RN - 0 (NAB2 protein, human) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Repressor Proteins) RN - 0 (STAT6 Transcription Factor) RN - 0 (STAT6 protein, human) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/*analysis MH - Female MH - Humans MH - Male MH - Oncogene Proteins, Fusion/genetics MH - Repressor Proteins/genetics MH - STAT6 Transcription Factor/genetics MH - Solitary Fibrous Tumors/*diagnosis/genetics/*pathology MH - Young Adult OTO - NOTNLM OT - NAB2-STAT6 fusion OT - Solitary fibrous tumor OT - histomorphology OT - mast cell-rich OT - myxoid EDAT- 2020/05/11 06:00 MHDA- 2021/04/02 06:00 CRDT- 2020/05/11 06:00 PHST- 2020/02/23 00:00 [received] PHST- 2020/04/21 00:00 [accepted] PHST- 2020/05/11 06:00 [pubmed] PHST- 2021/04/02 06:00 [medline] PHST- 2020/05/11 06:00 [entrez] AID - S0344-0338(20)30498-2 [pii] AID - 10.1016/j.prp.2020.152989 [doi] PST - ppublish SO - Pathol Res Pract. 2020 Jun;216(6):152989. doi: 10.1016/j.prp.2020.152989. Epub 2020 Apr 25.