Case Report

A Liver Transplant for Local Control in a Pediatric Patient with Metastatic TFE3-Associated Perivascular Epithelioid Cell Tumor (PEComa) to the Liver

Table 1

Graph demonstrating results.

Age (yr.)/sexLocationSize (cm)Margin statusLymph nodeNuclear atypiaMitosis/10 HPFPrognosisaTFE3 IHCbTFE3 FISHcReference

6/FAppendix1.3NANAYes0NANANA[10]
9/FRectum3NegNegNoRare14 MO NEDNANA[11]
12/MDuodenum3.5NegNegNoLow24 MO NEDNANA[12]
16/FTransverse colon2NANegNA024 MO NEDNANA[13]
11/MSigmoid colon1.2NegPosNoOccasional5 MO NEDNANA[14]
11/MDescending/sigmoid colon3.5NegNANAInfrequentNAPosNA[15]
16/FTransverse colon1.8NANegNANA41 MO NEDPosNA[16]
14/FSigmoid colon6.4NegNANARareNAPosPos[17]
15/FRectum3.7NegPosNo29 MO NEDNANA[18]
16/FColonNANANANANANAPosPos[5]
17/FSigmoid colon6NegNANoNA180 MO NEDNANA[19]
7/MAscending colon4NegNegNoLow26 MO NEDNANA[20]
17/MRectum3NegNegNo<110 MO NEDNANA[21]
16/FAscending colon5NegNegNoUp to 9Liver met. after 3 MOPosPosOur case

Abbreviation: F: female; FISH: fluorescent in situ hybridization; HPF: high power fields; IHC: immunohistochemistry; M: male; Met: metastasis; MO: month; NA: no data available; Neg: negative; NED: no evidence of disease; Pos: positive; Ref.: reference; yr.: year(s). aFollow-up since the first diagnosis. bTFE3 expression by immunohistochemistry. cGene rearrangement involving TFE3 (Xp11.23) by FISH.