Evidence map›Paper›PMID 40739411›Full record

ArticleDiscover oncology2025

TSC2-mutated perivascular epithelioid cell tumor with partial response to mTOR inhibition: a case report and literature review.

Xiaopeng Suo, Ruihan Dong, Lingling Zhang, Xiaoying Zhang, Xiangji Li, Mengmeng Xiao

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xiaopeng Suo *Department of Retroperitoneal Tumor Surgery, Peking University People's Hospital, Beijing, 100044, P. R. China.
Ruihan Dong *Department of Nursing, The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650032, Yunnan, P. R. China.
Lingling ZhangDaytime Comprehensive Care Unit, Peking University People's Hospital, Beijing, 100044, P. R. China.
Xiaoying ZhangDepartment of Pathology, Peking University International Hospital, Beijing, 102206, P. R. China.
Xiangji LiDepartment of Gastroenterology, Beijing Friendship Hospital, State Key Laboratory of Digestive Health, National Clinical Research Center for Digestive Diseases, Beijing Key Laboratory for Precancerous Lesion of Digestive Diseases, Capital Medical University, Beijing, 100050, P. R. China. scdxhxyxzx@163.com.
Mengmeng XiaoDepartment of Retroperitoneal Tumor Surgery, Peking University People's Hospital, Beijing, 100044, P. R. China. xiaomengmeng@pku.edu.cn.

Funding

Young Elite Scientists Sponsorship Program 2023QNRC001
6 · The paper itself

Abstract

Perivascular epithelioid cell tumors (PEComas), rare mesenchymal neoplasms with heterogeneous behavior, are molecularly characterized by TSC2 inactivation driving mammalian target of rapamycin (mTOR) pathway activation. We present a typical case of a 63-year-old female with metastatic high-grade PEComa featuring a TSC2 mutation (68.57% VAF) and elevated tumor mutational burden (19.7 mut/Mb), manifesting as peritoneal carcinomatosis and pulmonary metastases. Everolimus therapy following multidisciplinary assessment induced a radiologically confirmed partial response within 4.5 months with sustained clinical benefit. This outcome validates mTOR inhibition in TSC2-mutated PEComas and underscores the imperative of molecular profiling in mesenchymal tumor management. The significant mutational burden suggests potential immunotherapy responsiveness, informing future combination strategies. These findings emphasize molecularly guided precision approaches in rare malignancies and warrant systematic exploration of therapeutic sequencing and resistance mechanisms in mTOR-driven tumors.

Indexed as

Case reportEverolimusmTOR inhibitorPEComaTSC2 mutation

Identifiers

PMID40739411
PMCPMC12311069

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.