J Pathol Transl Med.  2019 Jan;53(1):62-65. 10.4132/jptm.2018.08.30.

TFE3-Expressing Perivascular Epithelioid Cell Tumor of the Breast

Affiliations
  • 1Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. sooyoun.cho@samsung.com
  • 2Division of Breast Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Perivascular epithelioid cell tumor (PEComa) is a very rare mesenchymal tumor with a distinctive morphology and immunophenotype. PEComas usually harbor TSC2 alterations, although TFE3 translocations, which occur in MiT family translocation renal cell carcinoma and alveolar soft part sarcoma, are also possible. We recently experienced a case of PEComa with TFE3 expression arising in the breast. An 18-year-old female patient presented with a right breast mass. Histologically, the tumor consisted of epithelioid cells with alveolar structure and showed a diffuse strong expression of HMB45 and TFE3. TSC2 was preserved. Melan A and smooth muscle actin were negative. To our knowledge, this is the first Korean case of PEComa of the breast that intriguingly presented with TFE3 expression.

Keyword

Perivascular epithelioid cell neoplasms; TFE3; Breast

MeSH Terms

Actins
Adolescent
Breast*
Carcinoma, Renal Cell
Epithelioid Cells*
Female
Humans
MART-1 Antigen
Muscle, Smooth
Perivascular Epithelioid Cell Neoplasms
Sarcoma, Alveolar Soft Part
Actins
MART-1 Antigen
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