PMID- 35801771 OWN - NLM STAT- MEDLINE DCOM- 20220711 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 101 IP - 27 DP - 2022 Jul 8 TI - Significance of immunohistochemistry and FISH of TFE3 in the diagnosis of alveolar soft part sarcoma: A case report. PG - e29861 LID - 10.1097/MD.0000000000029861 [doi] LID - e29861 AB - RATIONALE: Alveolar soft part sarcoma (ASPS) is a rare soft tissue sarcoma harboring an ASPL-TFE3 fusion gene. Herein, we report a case of ASPS associated with brain metastasis. Immunohistochemistry (IHC) for TFE3 antigen expression and fluorescence in situ hybridization (FISH) for TFE3 rearrangement were performed to arrive at an accurate diagnosis. PATIENT CONCERNS: A 47-year-old man was hospitalized for a headache and numbness of the lower limbs. DIAGNOSES: Preoperative computed tomography and magnetic resonance imaging revealed 2 brain masses, 1 each in the right parietal and temporal bones. We diagnosed this case as ASPS with brain metastasis based on histological morphology, IHC, and FISH. INTERVENTIONS: The patient underwent right skull titanium mesh implantation and supratentorial superficial lesion resection. OUTCOMES: : The patient recovered well after discharged from hospital. LESSONS: The diagnosis of ASPS depends on careful clinical, radiographic, histopathological, IHC, and FISH assessments to arrive at the correct diagnosis. Thus, TFE3 may be useful in the diagnosis and treatment of ASPS. CI - Copyright (c) 2022 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Huang, Yan-Ying AU - Huang YY AUID- ORCID: 0000-0003-3141-7936 AD - Department of Pathology, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, People's Republic of China. FAU - Yang, Wan-Rui AU - Yang WR AD - Department of Pathology, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, People's Republic of China. FAU - Geng, Yan-Hua AU - Geng YH AD - Department of Pathology, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, People's Republic of China. FAU - Zhang, Yue AU - Zhang Y AD - Department of Radiology, Hangzhou Red Cross Hospital, Hangzhou, Zhejiang, People's Republic of China. LA - eng PT - Case Reports PT - Journal Article DEP - 20220708 PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Basic Helix-Loop-Helix Leucine Zipper Transcription Factors) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (TFE3 protein, human) SB - IM MH - Basic Helix-Loop-Helix Leucine Zipper Transcription Factors MH - *Brain Neoplasms MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Intracellular Signaling Peptides and Proteins/genetics MH - Oncogene Proteins, Fusion/genetics MH - *Sarcoma, Alveolar Soft Part/pathology PMC - PMC9259144 COIS- The authors have no conflicts of interest to disclose. EDAT- 2022/07/09 06:00 MHDA- 2022/07/12 06:00 PMCR- 2022/07/08 CRDT- 2022/07/08 08:13 PHST- 2022/07/08 08:13 [entrez] PHST- 2022/07/09 06:00 [pubmed] PHST- 2022/07/12 06:00 [medline] PHST- 2022/07/08 00:00 [pmc-release] AID - 00005792-202207080-00042 [pii] AID - 10.1097/MD.0000000000029861 [doi] PST - epublish SO - Medicine (Baltimore). 2022 Jul 8;101(27):e29861. doi: 10.1097/MD.0000000000029861.