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. 2020 Jul 6;33:100603. doi: 10.1016/j.gore.2020.100603

Table 1.

Worrisome features predictive of outcome in patients with PEComas.

Folpe et al. (12)
Schoolmeester et al.(19)
Bennett et al (16)
category Histologic criteria Category Histologic criteria Category Histologic criteria
Benign No worrisome features:
less than5 cm in diameter
Non-high nuclear grade and cellularity
Mitotic rate ≤ 1/50 HPF No necrosis
No vascular invasion
Benign/uncertain malignant potential Less than 4 worrisome features: size ≥ 5 cm
high-grade atypia (excluding degenerative atypia) mitoses > 1/50 HPF, necrosis
lymphovascular invasion
Uncertain malignant potential Less than 3 worrisome features: size ≥ 5 cm
high-grade atypia (excluding degenerative atypia) mitoses > 1/50 HPF, necrosis
lymphovascular invasion
Uncertain malignant potential One or both of the following features:
Nuclear pleomorphism/multinucleated giant cells only or size>5 cm
Malignant 4 or more worrisome features: size ≥ 5 cm, high-grade atypia (excluding degenerative atypia) mitoses > 1/50 HPF,
necrosis
lymphovascular invasion
Malignant 3 or more worrisome features: size ≥ 5 cm, high-grade atypia (excluding degenerative atypia) mitoses > 1/50 HPF, necrosis
lymphovascular invasion
Malignant Two or more worrisome features:
>5 cm in diameter
Infiltrative
High nuclear grade and cellularity
Mitotic rate > 1/50 HPF
Necrosis
Vascular invasion

Legend: HPF: high power field