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Emerging fusion-associated mesenchymal tumours: a tabular guide and appraisal of five ‘novel’ entities
  1. Jinesa Moodley1,
  2. Ivan Chebib2
  1. 1Anatomical Pathology, BC Cancer Agency, Vancouver, British Columbia, Canada
  2. 2Department of Pathology, Harvard Medical School, Boston, Massachusetts, USA
  1. Correspondence to Dr Ivan Chebib; ichebib{at}mgh.harvard.edu

Abstract

Aims The field of molecular pathology has undergone significant advancements in the clinical impact of sarcoma diagnosis, resulting in challenges to nosology of bone and soft tissue tumours. The surge in molecular data has led to the identification of novel fusions and description of new ‘entities’. To illustrate this, we have selected five emerging entities with novel fusions: clear cell stromal tumour of the lung with YAP1::TFE3 fusion, GAB1::ABL1 fusion spindle cell neoplasm, NUTM1-rearranged sarcomas, NR1D1-rearranged sarcomas and calcified chondroid mesenchymal neoplasms.

Methods Literature for the relevant case reports and case series of these five entities were reviewed and clinicopathological data was collected. Additionally, this review includes a table format of recently described fusion-associated mesenchymal neoplasms.

Results The morphological and immunohistochemical features, along with diagnostic challenges, are discussed for each entity.

Conclusions Here, we have provided a review of selected emerging mesenchymal neoplasms, which of these neoplasms will meet the threshold to be ‘new entities’ remains to be determined.

  • Sarcoma
  • Bone Neoplasms
  • Soft Tissue Neoplasms

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Footnotes

  • Handling editor Vikram Deshpande.

  • Contributors JM and IC contributed equally to the planning, conducting, writing, conception and design of this paper. IC is the guarantor.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.