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Solitary fibrous tumours involving the genitourinary tract: a case series in rare locations, highlighting the role of STAT6 immunohistochemistry

delete2023-11-14
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PRE
AI
J
João Lobo *
L
Lara R. Harik
C
Charles C. Peyton
M
Mariana Andozia Morini
B
Bassel Zein‐Sabatto
T
Thomas S. Winokur
V
Valeria Dal Zotto
C
Cristina Magi‐Galluzzi *
DOI:10.1007/s00428-023-03694-4delete
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Abstract

Abstract

En 中文
Solitary fibrous tumour (SFT) is a mesenchymal neoplasm with variable behaviour, very rarely involving the genitourinary (GU) tract. Most reported cases correspond to isolated case reports. STAT6 immunohistochemistry is a more recent and reliable diagnostic marker. The pathology database of two tertiary institutes was searched for SFTs involving the GU tract. STAT6 strong diffuse nuclear staining confirmed the diagnosis in all four cases, and the NAB2::STAT6 fusion was demonstrated by NGS in one case. Two cases were diagnosed in needle biopsy, one involving the prostate and the other involving the seminal vesicle. One case corresponded to a pelvic mass inseparable from and infiltrating the prostate and bladder. The remainder represented an exceedingly rare involvement of the spermatic cord. Involvement by a SFT should be considered in the differential diagnosis of spindle cell lesions involving GU organs. STAT6 strong diffuse nuclear staining is an important ancillary tool, particularly in a biopsy.
Keywords:
Solitary fibrous tumour
STAT6
Genitourinary tract
Prostate
Seminal vesicle
Soft tissue tumour

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