Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report

Myoepithelioma-like hyalinizing epithelioid tumors (MHETs) are distinct soft tissue neoplasms characterized by their unique histological presentation, including myoepithelioma-like hyalinization and an epithelioid-cell pattern. A defining molecular characteristic of these tumors is the presence of a...

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Main Authors: Xiaoxiao Bao, Qianqian Lu, Bifei Huang, Xiaowei Zhang
Format: Article
Language:English
Published: SAGE Publishing 2025-03-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605251324492
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author Xiaoxiao Bao
Qianqian Lu
Bifei Huang
Xiaowei Zhang
author_facet Xiaoxiao Bao
Qianqian Lu
Bifei Huang
Xiaowei Zhang
author_sort Xiaoxiao Bao
collection DOAJ
description Myoepithelioma-like hyalinizing epithelioid tumors (MHETs) are distinct soft tissue neoplasms characterized by their unique histological presentation, including myoepithelioma-like hyalinization and an epithelioid-cell pattern. A defining molecular characteristic of these tumors is the presence of a novel OGT :: FOXO gene fusion. Their distinct morphology makes diagnosis challenging because they can be mistaken for other soft tissue tumors. We report the case of a 71-year-old man who was admitted to our hospital with a 1-year history of a palpable mass on the left palm. Physical examination revealed a well-defined, mobile mass on the lateral aspect of the left palm, measuring 2.0 × 3.0 cm, with moderate consistency. The tumor was surgically excised, and postoperative pathology based on immunohistochemical staining and tissue morphology confirmed the diagnosis of MHET. The tumor cells exhibited diffuse positivity for CD34 and focal positivity for EMA. At the 3-month follow-up post-surgery, there was no evidence of recurrence or distant metastasis. MHETs are typically observed as superficial, well-circumscribed masses without the histological features of malignancy. Given the distinct tissue morphology and the recent identification of this tumor type, clinicians and pathologists must be aware of these features to facilitate accurate diagnosis and inform treatment strategies.
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issn 1473-2300
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spelling doaj-art-57d38bd3cbf545cb97f3e75cc23ab3eb2025-08-20T03:48:22ZengSAGE PublishingJournal of International Medical Research1473-23002025-03-015310.1177/03000605251324492Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case reportXiaoxiao BaoQianqian LuBifei HuangXiaowei ZhangMyoepithelioma-like hyalinizing epithelioid tumors (MHETs) are distinct soft tissue neoplasms characterized by their unique histological presentation, including myoepithelioma-like hyalinization and an epithelioid-cell pattern. A defining molecular characteristic of these tumors is the presence of a novel OGT :: FOXO gene fusion. Their distinct morphology makes diagnosis challenging because they can be mistaken for other soft tissue tumors. We report the case of a 71-year-old man who was admitted to our hospital with a 1-year history of a palpable mass on the left palm. Physical examination revealed a well-defined, mobile mass on the lateral aspect of the left palm, measuring 2.0 × 3.0 cm, with moderate consistency. The tumor was surgically excised, and postoperative pathology based on immunohistochemical staining and tissue morphology confirmed the diagnosis of MHET. The tumor cells exhibited diffuse positivity for CD34 and focal positivity for EMA. At the 3-month follow-up post-surgery, there was no evidence of recurrence or distant metastasis. MHETs are typically observed as superficial, well-circumscribed masses without the histological features of malignancy. Given the distinct tissue morphology and the recent identification of this tumor type, clinicians and pathologists must be aware of these features to facilitate accurate diagnosis and inform treatment strategies.https://doi.org/10.1177/03000605251324492
spellingShingle Xiaoxiao Bao
Qianqian Lu
Bifei Huang
Xiaowei Zhang
Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report
Journal of International Medical Research
title Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report
title_full Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report
title_fullStr Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report
title_full_unstemmed Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report
title_short Myoepithelioma-like hyalinizing epithelioid tumors of the palm: A case report
title_sort myoepithelioma like hyalinizing epithelioid tumors of the palm a case report
url https://doi.org/10.1177/03000605251324492
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AT qianqianlu myoepitheliomalikehyalinizingepithelioidtumorsofthepalmacasereport
AT bifeihuang myoepitheliomalikehyalinizingepithelioidtumorsofthepalmacasereport
AT xiaoweizhang myoepitheliomalikehyalinizingepithelioidtumorsofthepalmacasereport