PEComa
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PEComa is a family of tumours derived from perivascular epithelioid cells (PECs).
General
- Associated with abnormalities in TSC1 and TSC2 - the genes involved in tuberous sclerosis.[1]
The PEComa family
- Angiomyolipoma.
- Lymphangioleiomyomatosis.
- Clear-cell myomelanocytic tumour of ligamentum teres/falciform ligament.
- Abdominopelvic sarcoma of perivascular epitheloid cells.[2]
- Clear-cell sugar tumour (CCST).
- Primary extrapulmonary sugar tumour.
Microscopic
Features:[1]
- Epithelioid morphology.
- Clear or granular cytoplasm.
- Central oval (or round) nucleus.
- Indistinct/small nucleolus.
DDx:
- Clear cell sarcoma.
- Melanotic Xp11 translocation renal cancer - in kidney.
- Other clear cell tumours.
- Other large epithelioid tumours.
Images
Renal AML (WC/KGH)
LAM - very high mag. (WC/Nephron)
LAM - high mag. (WC/Nephron)
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IHC
- Melanocytic markers
- Myogenic markers
- Calponin.
- Actin.[1]
- Myosin.
EM
- Premelanosomes.[4]
See also
References
- ↑ 1.0 1.1 1.2 1.3 Martignoni G, Pea M, Reghellin D, Zamboni G, Bonetti F (February 2008). "PEComas: the past, the present and the future". Virchows Arch. 452 (2): 119–32. doi:10.1007/s00428-007-0509-1. PMC 2234444. PMID 18080139. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2234444/.
- ↑ Bonetti, F.; Martignoni, G.; Colato, C.; Manfrin, E.; Gambacorta, M.; Faleri, M.; Bacchi, C.; Sin, VC. et al. (Jun 2001). "Abdominopelvic sarcoma of perivascular epithelioid cells. Report of four cases in young women, one with tuberous sclerosis.". Mod Pathol 14 (6): 563-8. doi:10.1038/modpathol.3880351. PMID 11406657.
- ↑ Doyle, LA.; Hornick, JL.; Fletcher, CD. (Dec 2013). "PEComa of the gastrointestinal tract: clinicopathologic study of 35 cases with evaluation of prognostic parameters.". Am J Surg Pathol 37 (12): 1769-82. doi:10.1097/PAS.0b013e31829caab3. PMID 24061520.
- ↑ Park, SH.; Ro, JY.; Kim, HS.; Lee, ES. (Nov 2003). "Perivascular epithelioid cell tumor of the uterus: immunohistochemical, ultrastructural and molecular study.". Pathol Int 53 (11): 800-5. PMID 14629307.