Table 4 Summary of molecular findings and final classification of the cases.

From: Re-evaluating tumors of purported specialized prostatic stromal origin reveals molecular heterogeneity, including non-recurring gene fusions characteristic of uterine and soft tissue sarcoma subtypes

Case

Original diagnosis

Morphologic patterna

Most relevant molecular alteration(s)

Final classification

1

PSS

Patternless

NAB2-STAT6 fusion

Solitary fibrous tumor, high risk

2

PSS

Short fascicles

TPM3-NTRK1 fusion

Sarcoma with TPM3-NTRK1 rearrangement, intermediate grade

3

PSS

Patternless/Epithelioid

BCOR-MAML3 fusion

Sarcoma with BCOR-MAML3 rearrangement, intermediate grade

4

PSS

Epithelioid/Storiform

Biallelic inactivation of TP53, ATRX mutation, AR amplification, and MAPK4 amplification

Unclassified sarcoma, intermediate grade

5

PSS

Patternless/Epithelioid

Biallelic inactivation of TP53, ATRX mutation, and homozygous RB1 deletion

Unclassified sarcoma, high grade

6

PSS

Short fascicles/Storiform

Biallelic inactivation of PTEN and RASA1, homozygous deletion of CDKN2A/CDKN2B, homozygous deletion of NF1 and MET1 amplification

Unclassified sarcoma, low grade

7

PSS

Fibrosarcomatous/Soriform

KAT6B and SUFU mutations

Unclassified sarcoma, intermediate grade

8

PSS

Short fascicles

BCORL1 and TSC2 mutations

Unclassified sarcoma, high grade

9

PSS

Short fascicles/Patternless

Biallelic inactivation of ARID1A

Unclassified sarcoma, high grade

10

PSS

Short fascicles

NA (failed sequencing/low DNA)

Unclassified sarcoma, intermediate grade

11

PSSb

Patternless/Epithelioidb

Biallelic inactivation of both TP53 and CHEK2

Unclassified sarcoma, intermediate grade

 

STUMPb

Myxoidb

Biallelic incativation of TP53 and CHEK2 mutation

 

12

STUMP

Patternless

JAZF1-SUZ12 fusion and biallelic inactivation of BCOR

Low-grade endometrial stromal sarcoma-like sarcoma

13

STUMP

Phyllodes

RGPD2-FOXO1 rearrangement and HOXB13 amplification

Mesenchymal tumors of uncertain malignant potential

14

STUMP

Degenerative atypia

Biallelic inactivation of TP53 and PALB2 rearrangement

Unclassified sarcoma, low grade

15

STUMPc

Phyllodes

TP53 mutation

Unclassified sarcoma, low gradec

16

STUMP

Phyllodes

Biallelic inactivation of TP53 and ATR mutation

Unclassified sarcoma, low grade

17

STUMP

Phyllodes

KMT2D mutation

Mesenchymal tumor of uncertain malignant potential

18

STUMP

Hypercellular

RSPO insertion/deletion

Mesenchymal tumor of uncertain malignant potential

19

STUMP

Hypercellular

POT1 mutation, MDM2 amplification, CDK4 amplification, ERBB3 amplification

Mesenchymal tumor of uncertain malignant potential

20

STUMP

Myxoid

Homozygous CHEK2 deletion

Mesenchymal tumor of uncertain malignant potential

21

STUMP

Myxoid

None found

Mesenchymal tumor of uncertain malignant potential

22

STUMP

Hypercellular

CIC-SERPINF fusion?d

Mesenchymal tumor of uncertain malignant potential

23

STUMP

Hypercellular

NA (failed sequencing/low DNA)

Mesenchymal tumor of uncertain malignant potential

24

STUMP

Hypercellular

NA (failed sequencing/low DNA)

Mesenchymal tumor of uncertain malignant potential

25

STUMP

Phyllodes

NA (failed sequencing/low DNA)

Mesenchymal tumor of uncertain malignant potential

  1. NA not available/applicable, STUMP stromal tumor of uncertain malignant potential, PSS prostatic stromal sarcoma.
  2. aAs descibed in Herawi et al. [1].
  3. bIn the manuscript, this case was counted as a PSS; therefore, only the histopathologic features of the PSS component were quantified.
  4. cThis case was initially diagnosed as STUMP, but later developed intraperitoneal metastases.
  5. dOnly detected by RNA sequencing (low-confidence call, likely stochastic).