Epithelioid Malignant Peripheral Nerve Sheath Tumor in the Liver: Report of a Rare Unusual Case with Rhabdoid Morphology and Review of the Literature
Table 2
Immunophenotype of neoplasms in the differential diagnosis of epithelioid malignant peripheral nerve sheath tumor.
Neoplasm
EMPNST
Malignant rhabdoid tumor
Myoepithelial carcinoma
Epithelioid sarcoma
Malignant melanoma
MGNET
Immunostain
INI1
Absent (50-70%)
Absent (98%)
Absent (10-40%)
Absent (90%)
Retained
Retained
Keratin
Rare
Positive
Positive
Positive
Negative
Negative
EMA
Rare
Positive
Positive
Positive
Negative
Negative
SMA
Negative
Variable
Variable
Negative
Negative
Negative
Desmin
Negative
Variable
Negative
Negative
Negative
Negative
Myogenin
Negative
Negative
Negative
Negative
Negative
Negative
MelanA
Negative
Negative
Negative
Negative
Positive
Negative
HMB45
Negative
Negative
Negative
Negative
Positive
Negative
SOX10
Positive
Negative
Positive
Negative
Positive
Positive
S100
Positive
Variable
Positive
Negative
Positive
Positive
GFAP
Negative
Variable
Negative
Negative
Negative
Negative
CD34
Negative
Negative
Negative
Variable
Negative
Negative
EMPNST with rhabdoid differentiation may express SMA. ^Please note that the immunophenotypes for the neoplasms listed above may deviate from what is listed. Abbreviations: EMPNST: epithelioid malignant peripheral nerve sheath tumor; MGNET: malignant gastrointestinal neuroectodermal tumor; EMA: epithelial membrane antigen; SMA: smooth muscle actin; GFAP: glial fibrillary acidic protein.