PMID- 32846779 OWN - NLM STAT- MEDLINE DCOM- 20200910 LR - 20221005 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 99 IP - 34 DP - 2020 Aug 21 TI - Clinical features of 18 perivascular epithelioid cell tumor cases. PG - e21659 LID - 10.1097/MD.0000000000021659 [doi] LID - e21659 AB - To investigate the biological behavior and clinical characteristics of perivascular epithelioid cell tumor (PEComa).Eighteen PEComa patients admitted to Zhongshan Hospital and the Central Hospital of Xuhui District in China from January 2006 to October 2018 were included. All patients were diagnosed based on pathological findings and treated with surgical resection or medication.Among the 18 patients, 1 underwent lymph node biopsy for multiple enlarged lymph nodes and 17 underwent mass resection. The median disease-free survival was 22 months after the first resection and over 12 months following a second resection. Treatment with mechanistic target of rapamycin (mTOR) inhibitors was effective for patients with unresectable or metastatic lesions. The median progression-free survival was approximately 13 months.Surgery is the predominant treatment approach for PEComa and patients can benefit from multiple operations. mTOR inhibitors are considered for patients with multiple lesions or intolerance to surgery. Anti-angiogenetic drugs can be selected when mTOR inhibitors fail to control the illness. FAU - Jia, Rongfei AU - Jia R AD - Department of Oncology, Central Hospital of Xuhui District. FAU - Jiang, Ling AU - Jiang L AD - Department of Oncology, Central Hospital of Xuhui District. FAU - Zhou, Yuhong AU - Zhou Y AD - Department of Oncology. FAU - Wang, Yan AU - Wang Y AD - Department of Oncology. FAU - Guo, Xi AU - Guo X AD - Department of Oncology. FAU - Ji, Yuan AU - Ji Y AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Ni, Xiang AU - Ni X AD - Department of Pathology, Zhongshan Hospital, Fudan University, Shanghai, China. FAU - Yang, Xiaoyan AU - Yang X AD - Department of Oncology, Central Hospital of Xuhui District. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R SB - IM MH - Adult MH - Female MH - Humans MH - Male MH - Middle Aged MH - Perivascular Epithelioid Cell Neoplasms/*diagnosis/therapy MH - Young Adult PMC - PMC7447485 COIS- Competing interests: The authors declare that they have no competing interests. The authors have no funding and conflicts of interest to disclose. EDAT- 2020/08/28 06:00 MHDA- 2020/09/12 06:00 PMCR- 2020/08/21 CRDT- 2020/08/28 06:00 PHST- 2020/08/28 06:00 [entrez] PHST- 2020/08/28 06:00 [pubmed] PHST- 2020/09/12 06:00 [medline] PHST- 2020/08/21 00:00 [pmc-release] AID - 00005792-202008210-00033 [pii] AID - MD-D-19-10220 [pii] AID - 10.1097/MD.0000000000021659 [doi] PST - ppublish SO - Medicine (Baltimore). 2020 Aug 21;99(34):e21659. doi: 10.1097/MD.0000000000021659.