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Sarcomatoid Morphology in Pediatric Langerhans Cell Neoplasm Does Not Always Predict Aggressive Clinical Course
Sam Sirotnikov1,2, Louis P Dehner3, José E Velázquez Vega1,2
1Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Summary
Langerhans cell sarcoma (LCS) is a rare myeloid neoplasm. This study details two pediatric cases of LCS with high-grade sarcomatous features, revealing an OSBPL9::BRAF fusion and BRAF V600E mutation.
Area of Science:
- Oncology
- Hematology
- Genetics
Background:
- Langerhans cell sarcoma (LCS) is a rare myeloid neoplasm.
- Malignant Langerhans cells (LC) exhibit significant mitotic activity.
- While predominantly seen in adults, pediatric LCS cases are infrequently reported with varied outcomes.
Purpose of the Study:
- To report two pediatric cases of Langerhans cell neoplasm.
- To characterize these neoplasms by high-grade sarcomatous features.
- To identify specific genetic alterations, including gene fusions and mutations.
Main Methods:
- Clinical case presentation.
- Histopathological examination of tumor samples.
- Molecular genetic analysis to detect gene fusions and mutations.
Main Results:
- Two pediatric patients diagnosed with high-grade Langerhans cell sarcoma.
- Identification of an OSBPL9::BRAF fusion in both cases.
- Detection of BRAF V600E mutation in conjunction with the fusion.
Conclusions:
- These findings highlight rare pediatric cases of LCS.
- The OSBPL9::BRAF fusion and BRAF V600E mutation may be significant in pediatric LCS pathogenesis.
- Further research is warranted to understand the clinical implications of these genetic findings.
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