Cytology-histology correlation of myoepithelial tumors harboring EWSR1-POU5F1 fusions: A report of two cases

Diagn Cytopathol. 2022 Jun;50(6):E163-E169. doi: 10.1002/dc.24941. Epub 2022 Feb 6.

Abstract

Myoepithelial tumors (MET) constitute a group of neoplasms with a variety of morphologic, immunophenotypic, and molecular features. Approximately half of MET of soft tissue harbor EWSR1 gene rearrangements with a subset showing EWSR1-POU5F1 fusions and demonstrating distinctive tendency towards aggressive behavior in children. Histologically, EWSR1-POU5F1-positive MET typically show clear-cell morphology with malignant features including marked pleomorphism and atypical mitotic figures. The cytomorphology of these tumors has not been well characterized. Reported here are the cytomorphologic features of two cases of EWSR1-POUF1-positive MET with histology correlation.

Keywords: EWSR1; POU5F1; core needle biopsy; cytology; myoepithelial tumor.

Publication types

  • Case Reports

MeSH terms

  • Biomarkers, Tumor / genetics
  • Child
  • Humans
  • Immunophenotyping
  • Myoepithelioma* / genetics
  • Myoepithelioma* / pathology
  • Octamer Transcription Factor-3 / genetics
  • Oncogene Proteins, Fusion / genetics
  • RNA-Binding Protein EWS / genetics
  • Soft Tissue Neoplasms* / genetics
  • Soft Tissue Neoplasms* / pathology

Substances

  • Biomarkers, Tumor
  • EWSR1 protein, human
  • Octamer Transcription Factor-3
  • Oncogene Proteins, Fusion
  • POU5F1 protein, human
  • RNA-Binding Protein EWS