{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:49:51Z","timestamp":1791877791344,"version":"4.3.4"},"reference-count":48,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Histopathology"],"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Occurrence of alveolar soft part sarcoma (ASPS) in the female genital tract is extremely rare. We report 26 cases of ASPS arising in the female genital tract to further characterize its clinicopathological and molecular features, differential diagnosis and biological behaviour.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010six cases of ASPS in the female genital tract were retrieved from our pathology archives. Patient age ranged from 11 to 69\u2009years (median\u2009=\u200930\u2009years). Tumours involved the uterus (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200922), vagina (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20093), and broad ligament (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091), with a median size of 3.3\u2009cm (1.5\u20138.5\u2009cm). Histologically, the tumours were predominantly composed of large epithelioid or round cells with abundant eosinophilic\u2010to\u2010clear cytoplasm, round nuclei and prominent nucleoli. Architecturally, tumour cells were arranged mostly in diffuse sheets or solid nests, while classic pseudoalveolar structures were rarely observed. All tumours showed strong TFE3 nuclear expression (100%), with variable immunoreactivity for ER (10\/11, 90.9%) and PR (9\/9, 100%). Twenty\u2010one tested tumours demonstrated\n                      <jats:italic>TFE3<\/jats:italic>\n                      rearrangement or\n                      <jats:italic>ASPSCR1::TFE3<\/jats:italic>\n                      fusion by fluorescence in situ hybridization or targeted RNA sequencing. Among 21 patients\u2019 available follow\u2010up data (range, 17\u2013151\u2009months; median, 30\u2009months), 2 of 3 vaginal ASPS patients developed disease progression (1 local recurrence, 1 lung metastasis), whereas all 18 patients with uterine ASPS (range\u2009=\u200917\u2013151\u2009months; median\u2009=\u200930.5\u2009months) remained disease\u2010free.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Female genital tract ASPS most commonly affects the uterus of young women. Uterine ASPS may have a relatively favourable prognosis. Distinguishing ASPS from its morphological mimickers, especially perivascular epithelioid cell tumour (PEComa), is of clinical importance to avoid inappropriate treatment and inaccurate prognosis assessment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/his.70302","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T07:33:23Z","timestamp":1791876803000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Alveolar soft part sarcoma of the female genital tract: a clinicopathological and molecular genetic study of 26 cases"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5565-6435","authenticated-orcid":false,"given":"Lu","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Pathology Fudan University Shanghai Cancer Center  Shanghai China"},{"name":"Department of Oncology, Shanghai Medical College Fudan University  Shanghai 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1402-1000","authenticated-orcid":false,"given":"Meng","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Pathology Fudan University Shanghai Cancer Center  Shanghai China"},{"name":"Department of Oncology, Shanghai Medical College Fudan University  Shanghai China"},{"name":"Institute of Pathology Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5018-1685","authenticated-orcid":false,"given":"I Weng","family":"Lao","sequence":"additional","affiliation":[{"name":"Department of Pathology Fudan University Shanghai Cancer Center  Shanghai China"},{"name":"Department of Oncology, Shanghai Medical College Fudan University  Shanghai China"},{"name":"Institute of Pathology Fudan University  Shanghai 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China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7712-822X","authenticated-orcid":false,"given":"Wentao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Pathology Fudan University Shanghai Cancer Center  Shanghai China"},{"name":"Department of Oncology, Shanghai Medical College Fudan University  Shanghai China"},{"name":"Institute of Pathology Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5999-7237","authenticated-orcid":false,"given":"Xiaoyan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Pathology Fudan University Shanghai Cancer Center  Shanghai China"},{"name":"Department of Oncology, Shanghai Medical College Fudan University  Shanghai China"},{"name":"Institute of Pathology Fudan University  Shanghai 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