ArticleVirchows Archiv : an international journal of pathology2026
EWSR1::ATF7 fusion driven mesenchymal neoplasm with rhabdomyoblastic differentiation.
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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6 authors.
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Abstract
We report a case of a 28-year-old man who presented with a slowly enlarging intramuscular mass in left posterior neck. Imaging demonstrated a relatively well-circumscribed mass with focal scattered calcifications. Histologic examination revealed a lobulated neoplasm composed of monotonous round to ovoid to spindle shaped tumor cells arranged in large nodules, loose fascicles, and solid nests within a sclerotic fibrous stromal background. Focal metaplastic bone formation and rare calcification were identified. No significant cytologic atypia, increased mitotic activity or necrosis was identified. The tumor showed immunophenotypic evidence of rhabdomyoblastic differentiation. Molecular studies identified a novel EWSR1::ATF7 fusion and methylation profiling yielded no matching classes. Overall, the findings favor classification as a fusion-associated spindle cell rhabdomyosarcoma. However, additional studies involving a larger number of cases will be required to confirm its classification as such and to better define its biologic behavior.
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