Case 6 was a 32-year-old woman with gastrointestinal stromal tumor (GIST) that displayed a sheet-like growth pattern with extensive hyalinization (A), composed of spindle cells (B) and uniform epithelioid cells (C) with the former arranged in a pattern analogous to Verocay bodies. Myxoid changes (D) were present in some areas. The most recent biopsy (108 months after the initial diagnosis) showed a recurrent GIST with epithelioid morphology (E) with diffuse c-KIT expression (F). Next-generation sequencing revealed a pathogenic RB1 p.R355fs mutation (G, right) in the most recent biopsy specimen but not in the primary (G, left) or previous recurrent tumors. Original magnification: (A), ×40; (B,D,E), ×200; (C,F), ×400.