Perivascular Epithelioid Cell Tumor (PEComa) of Vulva: a Rare Occurrence

Shah, Nehal; Zahoor, Sheikh; Batoo, Azhar Jan; Haji, Altaf Gowhar; Mir, Abdul Wahid; Qazi, Ifrah Ahmad

doi:10.1007/s13193-021-01437-y

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2022

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“…PEComas are immunoreactive for at least one melanocytic marker (HMB-45, melan-A, tyrosinase, and MiTF) and one smooth muscle marker (smooth muscle actin, pan-muscle actin, desmin, h-caldesmon, calponin, and muscle myosin). [ 2 , 10 ] Leiomyosarcoma shows positivity only for smooth muscle markers. Pan-cytokeratin and epithelial membrane antigen help in distinguishing between a metastatic carcinoma and PEComa, being positive in carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Sclerosing perivascular epithelioid cell tumor of the uterus: A rare entity posing diagnostic challenge

2022

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A BSTRACT Perivascular epithelioid cell tumor (PEComa) is a rare mesenchymal uterine tumor and the histological variant, sclerosing PEComa is exceedingly rare. Sclerosing PEComas preferentially occur in the retroperitoneum and occurrence in the uterine corpus is seldom seen. These tumors pose a diagnostic challenge and need distinction from morphological mimickers such as epithelioid smooth muscle tumors, endometrial stromal sarcoma, and metastatic carcinoma. Accurate diagnosis can be established coupling histomorphology with immunostaining. The distinction from other entities is of prime importance considering the therapeutic and prognostic implications. Herein, we describe a case of uterine sclerosing variant of PEComa with diagnostic difficulties and key to diagnose this entity.

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Section: Discussionmentioning

confidence: 99%