Table 1.
Worrisome features predictive of outcome in patients with PEComas.
| Folpe et al. (12) |
Schoolmeester et al.(19) |
Bennett et al (16) |
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|---|---|---|---|---|---|
| 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 |
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Legend: HPF: high power field