Table 2.
Size | Morphology | Nuclei | Other Features |
Main Molecular Alteration |
|
---|---|---|---|---|---|
Patient 1 | |||||
Primary diagnosis |
medium/large | pleomorphic, atypical | variable size, prominent nucleoli, eccentric nuclei | eosinophilic cytoplasm, abundant mitoses |
KRAS p.G12R |
Extensive resection |
medium/large | pleomorphic, atypical | convoluted nuclei, variable size, prominent nucleoli, eccentric nuclei | eosinophilic cytoplasm, abundant mitoses |
KIT p.D816H |
Liver biopsy |
few vital cells, myxoid stromal changes | WT | |||
Soft tissue metastasis |
medium/large | pleomorphic, atypical | chromatin clearing of the nuclei | eosinophilic cytoplasm, abundant mitoses |
NRAS p.Q61R |
Patient 2 | |||||
Primary diagnosis |
medium/large | monomorphic, atypical | variously distinct nucleoli | eosinophilic cytoplasm |
KRAS p.G12A/amplification |
Local recurrence 1 |
spindle cells: medium/large; epithelioid cells: small |
biphasic appearance (spindle cell shaped, monomorphic epithelioid) | NRAS p.Q61K | ||
Local recurrence 2 |
small/ medium |
monomorphic, atypical | NRAS p.Q61K | ||
Patient 3 | |||||
Primary diagnosis |
medium/large | atypical, epithelioid |
prominent nucleoli |
eosinophilic cytoplasm, abundant mitoses |
WT |
LN level II | medium/large | atypical, epithelioid |
prominent nucleoli |
eosinophilic cytoplasm, abundant mitoses |
WT |
Hemi- colectomy |
medium/large | atypical, epithelioid |
prominent nucleoli |
eosinophilic cytoplasm, abundant mitoses |
PIK3CA p.C420R |
Adrenal gland metastasis |
small/
medium |
atypical, epithelioid |
lacking prominent nucleoli | eosinophilic cytoplasm, abundant mitoses |
NRAS p.Q61K |
LN = lymph node, WT = wild type, major differences are printed in bold.