Evidence map›Paper›PMID 41667833›Full record

ArticleVirchows Archiv : an international journal of pathology2026

Gastric mesenchymal tumor with PTCH1::GLI2 fusion: a distinct subset of GLI1/GLI2-altered tumors?

Yukino Nikai, Kyoko Yamashita, Akito Dobashi, Yuki Togashi, Satoko Baba, Toshiaki Hirasawa, Motonari Ri, Souya Nunobe, Hiroshi Kawachi, Kengo Takeuchi

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Article in Virchows Archiv : an international journal of pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yukino NikaiDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Kyoko YamashitaDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan. kyoko.yamashita@jfcr.or.jp.ORCID http://orcid.org/0000-0001-6535-5951
Akito DobashiDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Yuki TogashiDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Satoko BabaDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Toshiaki HirasawaDepartment of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Motonari RiDepartment of Gastric Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Souya NunobeDepartment of Gastric Surgery, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan.
Hiroshi KawachiDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.
Kengo TakeuchiDepartment of Pathology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, Tokyo, 135-8550, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric mesenchymal tumors with GLI2 gene fusions are extremely rare, and only two cases, both with PTCH1::GLI2, have been reported. Here, we describe a third case involving a 47-year-old man. The tumor, measuring 4.5 cm in size, was distributed throughout the gastric wall transmurally with an infiltrative growth pattern. It had two spindle cell components, one arranged in tight bundles and the other in a loose reticular to vague fascicular pattern, and an epithelioid component lacking glandular formation. Immunohistochemically, CAM5.2 showed focal positivity in all components, SMA was positive in both spindle cell components, whereas desmin was positive only in the former. No recurrence was observed over 5 years. RNA sequencing identified a PTCH1::GLI2 fusion with GLI1, GLI2, and PTCH1 upregulation. The breakpoint was identical to those in the previously reported cases. Taken together, these findings suggest that PTCH1::GLI2 fusion may define a distinctive subtype of gastric mesenchymal tumors within the GLI1/GLI2-altered spectrum.

Indexed as

Biomarkers, TumorGastrointestinal Stromal TumorsOncogene Proteins, FusionPatched-1 ReceptorStomach NeoplasmsZinc Finger Protein Gli2Gene FusionHumansImmunohistochemistryMaleMiddle AgedNuclear ProteinsZinc Finger Protein GLI1Biomarkers, TumorGLI1 protein, humanGLI2 protein, humanNuclear ProteinsOncogene Proteins, FusionPatched-1 ReceptorPTCH1 protein, humanZinc Finger Protein GLI1Zinc Finger Protein Gli2Gastric mesenchymal tumorGLI1/GLI2-altered tumorsPTCH1::GLI2 fusion

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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.