A Novel TEK::GAB2Gene Fusion in Pediatric Angiosarcoma of Pelvic soft Tissue: A Case Report and Literature Review

Autor: Sandoval, Zachary Emmanuel, Schmidt, Ryan J., Bhutada, Jessica Sheth, Shillingford, Nick, Zhou, Shengmei
Zdroj: Pediatric and Developmental Pathology; 20240101, Issue: Preprints
Abstrakt: Pediatric angiosarcoma of soft tissue, an extremely rare entity, remains poorly understood from a genetic standpoint. Herein, we present the case of a previously healthy 17-year-old girl with acute left hip pain. Subsequent magnetic resonance imaging revealed a 21.8 cm left pelvic sidewall mass with heterogeneous enhancement and multiple lung nodules. Biopsy of the tumor showed an infiltrative, hemorrhagic neoplasm composed primarily of atypical spindle to epithelioid cells. Focal vasoformative architecture was appreciated. Immunohistochemically, the tumor cells were strongly positive for CD31, ERG, and FLI-1, supporting the diagnosis of angiosarcoma. Genetic analysis identified a novel TEK::GAB2gene fusion. TEKbelongs to the angiopoietin receptor family, and its fusion with GAB2is predicted to mediate tumorigenesis. This report expands the current knowledge on the spectrum of gene rearrangements of angiosarcoma.
Databáze: Supplemental Index