“…The differential diagnosis includes vascular tumors such as glomus tumors, hemangiomas, pyogenic granulomas, and nasopharyngeal angiofibromas and soft tissue tumors such as solitary fibrous tumors (SFTs), desmoid-type fibromatosis, and Ewing sarcoma. 7,8 GPCs typically stain positive for nuclear betacatenin, which can differentiate them from glomus tumors, SFTs, lobular capillary hemangioma, and Ewing sarcomas and negative for STAT6 which can further differentiate them from SFTs. Meningiomas can arise in the middle ear region and are also on the differential diagnosis, but they typically show a nested, lobular arrangement of ovoid tumor cells that are separated by delicate fibrovascular stroma.…”