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