PRRX1::NCOA1 Rearranged Fibroblastic Tumour: A New Report With a Brief Literature Review of an Uncommon Neoplasm.

Int J Surg PatholMay 16, 2026 (epub)

Sulagna Gupta, Pranav Dorwal, Duncan Lambie

✦ AI-curated · Sources linked

Case in brief

A case of a PRRX1::NCOA1 rearranged fibroblastic tumor was presented, characterized by a well-circumscribed, monomorphic cellular structure with oval to spindle-shaped cells. Immunohistochemical analysis showed patchy reactivity for smooth muscle actin and S100. The presence of the PRRX1::NCOA1 fusion transcript was confirmed, contributing to the understanding of this neoplasm's characteristics and behavior.

Diagnostic / clinical pearl

Clinicians should consider the PRRX1::NCOA1 rearranged fibroblastic tumor in the differential diagnosis of spindle cell neoplasms, especially given its unique molecular signature.

Why it matters

This case highlights the importance of next-generation sequencing in identifying novel neoplasms that are not yet classified by the WHO, emphasizing the evolving nature of tumor classification.

Source

Published in Int J Surg Pathol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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