Subtype
Soft Tissue Neoplasm of Uncertain Differentiation
CI-CAN-00001532Explore in graph →
- NCIt
- C7148
Loading cancer entity…
Subtype
CI-CAN-00001532Explore in graph →
Variants & evidence
50 evidence items mapped to this entity or its descendants, grouped by molecular profile, then therapy. 50 items per page.
| Therapy | Cancer | Type | Level | Direction · significance | Rating (1–5) | Status | Evidence | Source |
|---|---|---|---|---|---|---|---|---|
| TFE3 Fusion4 | ||||||||
| (diagnostic) | Alveolar Soft Part Sarcoma | Diagnostic | B | Supports Positive | 4 | accepted | EID9978Alveolar soft part sarcoma (ASPS) is characterized by the presence of an unbalanced translocation der(17)t(X;17)(p11;q25). In this 2001 paper, FISH with YAC and cosmid probes was used to localize the… (full text at CIViC) PMID 11244503 · Ladanyi et al., 2001 · Open in CIViC | civic |
| 〃 | Alveolar Soft Part Sarcoma | Diagnostic | B | Supports Positive | 4 | accepted | EID11530In this 2012 paper, the authors assessed potential characteristic markers in 24 alveolar soft part sarcoma (ASPS cases), age range from 13 to 61 years, and 23 non-ASPS tumors. Nuclear immunoreactivity… (full text at CIViC) PMID 21835426 · Tsuji et al., 2012 · Open in CIViC | civic |
| 〃 | Alveolar Soft Part Sarcoma | Diagnostic | B | Supports Positive | 3 | accepted | EID11531This study by Ju, et al. (2018) consisted of nine cases of alveolar soft part sarcoma (ASPS). The age of patients ranged from 7 to 36 years. Total mRNA was extracted from seven of the nine ASPS paraff… (full text at CIViC) PMID 28766250 · Ju et al., 2018 · Open in CIViC | civic |
| (oncogenic) | Alveolar Soft Part Sarcoma | Oncogenic | D | Supports Oncogenicity | 4 | accepted | EID9883Goodwin, et al. (2014) presented in vivo study on mice carrying the ASPSCR1-TFE3 fusion gene. The results showed that Rosa26-LSL-AT3/CreER mice expressed tumors histological equal to the human’s alveo… (full text at CIViC) PMID 25453902 · Goodwin et al., 2014 · Open in CIViC | civic |
| BRAF V600E1 | ||||||||
| Vemurafenib | Clear Cell Sarcoma of Soft TissueALIAS | Predictive | C | Supports Sensitivity Response | — | submitted | EID3779In a case report, a clear cell sarcoma patient harboring BRAF V600E mutation with distant metastases was associated with a complete response to vemurafenib monotherapy at 8 weeks of treatment. Prior t… (full text at CIViC) PMID 26286452 · Protsenko et al., 2015 · Open in CIViC | civic |
| ATF1 Fusion5 | ||||||||
| (diagnostic) | Clear Cell Sarcoma of Soft TissueALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID8265In this study, the authors analyzed 17 clear cell sarcomas from 16 patients, along with 2 positive control cell lines and 2 melanomas as negative controls, to investigate the prevalence and types of E… (full text at CIViC) PMID 19561568 · Wang et al., 2009 · Open in CIViC | civic |
| 〃 | Clear Cell Sarcoma of Soft TissueALIAS | Diagnostic | B | Supports Positive | 3 | accepted | EID12829In this 2018 study by Keiko Segawa et al., the authors analyzed 22 tumors, including 16 clear cell sarcomas of soft tissue (CCSST) and 6 clear cell sarcoma–like gastrointestinal tumors (CCSLGT), to ch… (full text at CIViC) PMID 30219084 · Segawa et al., 2018 · Open in CIViC | civic |
| 〃 | Clear Cell Sarcoma of Soft TissueALIAS | |||||||
| CREB1 Fusion4 | ||||||||
| (diagnostic) | Angiomatoid Fibrous Histiocytoma | Diagnostic | B | Supports Positive | 3 | accepted | EID12852In this study, the authors analyzed 14 cases of angiomatoid fibrous histiocytoma (AFH). The EWSR1::CREB1 fusion associated with t(2;22)(q33;q12) was detected in 13 of 14 tumors by dual‑color and four‑… (full text at CIViC) PMID 18094413 · Rossi et al., 2007 · Open in CIViC | civic |
| 〃 | Angiomatoid Fibrous Histiocytoma | Diagnostic | B | Supports Positive | 3 | accepted | EID12855In this study, the authors analyzed 9 cases of angiomatoid fibrous histiocytoma (AFH). The EWSR1::CREB1 fusion was identified as the predominant molecular alteration, detected in 8 of 9 tumors by RT‑P… (full text at CIViC) PMID 17724745 · Antonescu et al., 2007 · Open in CIViC | civic |
| 〃 | Angiomatoid Fibrous Histiocytoma | Diagnostic | C | Supports Positive | ||||
| NR4A3 Fusion2 | ||||||||
| Pazopanib | Extraskeletal Myxoid Chondrosarcoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID9819In this single-arm, open-label phase 2 trial, extraskeletal myxoid chondrosarcoma patients treated with pazopanib were reported and 22/23 patients (one patient died before the primary analysis) were e… (full text at CIViC) PMID 31331701 · Stacchiotti et al., 2019 · Open in CIViC | civic |
| Sunitinib | Extraskeletal Myxoid Chondrosarcoma | Predictive | B | Supports Sensitivity Response | 3 | submitted | EID6378his report confirms the therapeutic activity of sunitinib in extraskeletal myxoid chondrosarcoma. Genotype/phenotype analyses support a correlation between response and EWSR1-NR4A3 fusion. PMID 24703573 · Stacchiotti et al., 2014 · Open in CIViC | civic |
| NR4A3 Fusion + NR4A3 Fusion1 | ||||||||
| Trabectedin | Extraskeletal Myxoid Chondrosarcoma | Predictive | C | Supports Sensitivity Response | 2 | accepted | EID12545In a sub-analysis of a randomized phase II trial in extraskeletal myxoid chondrosarcoma (EWSR1-NR4A3 and TAF15-NR4A3 fusions; n = 2) and mesenchymal chondrosarcoma (HEY1-NCOA2 fusion, n = 6)(trabected… (full text at CIViC) PMID 27418251 · Morioka et al., 2016 · Open in CIViC | civic |
| WT1 Fusion3 | ||||||||
| (diagnostic) | Desmoplastic Small Round Cell Tumor | Diagnostic | B | Supports Positive | 2 | accepted | EID11405In an analysis of a cohort of desmoplastic small round cell tumor, evidence of a functional EWSR1::WT1 fusion was detected in 25 of 26 cases. In these cases, the genomic breakpoints in WT1 was in in… (full text at CIViC) PMID 9738572 · Gerald et al., 1998 · Open in CIViC | civic |
| 〃 | Desmoplastic Small Round Cell Tumor | Diagnostic | B | Supports Positive | 2 | accepted | EID11406In an analysis of 6 desmoplastic small round cell tumors, chimeric EWSR1::WT1 transcripts were detected in 4. The translocation resulted in an in-frame fusion of the N terminus (first 7 exons) of EWS… (full text at CIViC) PMID 7862627 · Gerald et al., 1995 · Open in CIViC | civic |
| 〃 | Desmoplastic Small Round Cell Tumor | Diagnostic | C | Supports Positive | ||||
| KRAS K117N1 | ||||||||
| Vemurafenib | Clear Cell Sarcoma of Soft TissueALIAS | Predictive | D | Supports Resistance | — | submitted | EID4425In an in vitro study, A375 cell lines expressing BRAF V600E (a known sensitizing mutation to vemurafenib) and KRAS K117N co-mutations demonstrated reduced sensitivity to vemurafenib treatment, compare… (full text at CIViC) PMID 22205714 · Su et al., 2012 · Open in CIViC | civic |
| NTRK1 Fusion5 | ||||||||
| (diagnostic) | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Diagnostic | C | Supports Positive | 4 | accepted | EID6391A 14-month-old boy presented with a slow-growing, asymptomatic back plaque, which was biopsied and found to have S100 positivity, sparse CD34 staining, and no significant mitotic activity, nuclear ple… (full text at CIViC) PMID 29892662 · Bartenstein et al., 2018 · Open in CIViC | civic |
| 〃 | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Diagnostic | C | Supports Positive | 3 | accepted | EID11576A 31-year-old female presented with a pigmented nodule on her scalp that enlarged in size over a 2-year period. Biopsy demonstrated a fascicular proliferation of bland spindle cells within the dermis … (full text at CIViC) PMID 32519338 · Panse et al., 2021 · Open in CIViC | civic |
| 〃 | NTRK-Rearranged Spindle Cell Neoplasm | |||||||
| NTRK1 Fusion + S100B ExpressionNTRK1S100B1 | ||||||||
| (diagnostic) | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Diagnostic | C | Supports Positive | 2 | submitted | EID12006Among pediatric fibroblastic and myofibroblastic proliferating superficial lesions, lipofibromatosis (LPF), composed of an admixture of adipose tissue and fibroblastic elements, has been variously cla… (full text at CIViC) PMID 27259011 · Agaram et al., 2016 · Open in CIViC | civic |
| HLA-A *02:01P + HLA-A *02:02P + HLA-A *02:03P + HLA-A *02:06P + MAGEA4 ExpressionHLA-AMAGEA41 | ||||||||
| Afamitresgene Autoleucel | Synovial Sarcoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID12138In cohort 1 of this non-randomised, phase 2 trial (SPEARHEAD-1), 52 patients, aged, 16-75, with synovial sarcoma (n = 44) and myxoid round cell liposarcoma (n=8) harboring HLA-A*02 and MAGE-A4 were tr… (full text at CIViC) PMID 38554725 · D'Angelo et al., 2024 · Open in CIViC | civic |
| ATF1 Fusion + MET OverexpressionMETATF11 | ||||||||
| Crizotinib | Clear Cell Sarcoma of Soft TissueALIAS | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID1145528 patients were selected from a cohort of 43 patients with clear-cell sarcoma (CCSA) for this phase II trial. 26 of such patients presented with EWSR1 rearrangement and MET overexpression (MET+ cohor… (full text at CIViC) PMID 28950372 · Schöffski et al., 2017 · Open in CIViC | civic |
| SMARCB1 Deletion1 | ||||||||
| Tazemetostat | Epithelioid Sarcoma | Predictive | A | Supports Sensitivity Response | 4 | submitted | EID9992In this phase II, multicenter study of tazemetostat (EZH2 inhibitor) in adults with INI1-negative tumors or relapsed/refractory synovial sarcoma, subjects were enrolled into one of 7 cohorts. Cohort #… (full text at CIViC) PMID 33035459 · Gounder et al., 2020 · Open in CIViC | civic |
| SMARCB1 Loss2 | ||||||||
| (oncogenic) | Epithelioid Sarcoma | Oncogenic | B | Supports Oncogenicity | 3 | accepted | EID9993This study aimed to characterize the spectrum of SMARCB1 gene abnormalities in epithelioid sarcoma. 19/21 patients were SMARCB1 immunohistochemistry-negative. Multiplex ligation dependent probe amplif… (full text at CIViC) PMID 23060122 · Sullivan et al., 2013 · Open in CIViC | civic |
| Tazemetostat | Epithelioid Sarcoma | Predictive | C | Supports Sensitivity Response | 2 | submitted | EID11181In the dose expansion of phase I pediatric trial (NCT02601937) of the EZH2 inhibitor tazemetostat, the overall response in 9 patients with SMARCB1-deficient epithelioid sarcoma was 22%, with 1 complet… (full text at CIViC) | civic |
| SMARCB1 Underexpression1 | ||||||||
| Tazemetostat | Synovial Sarcoma | Predictive | D | Supports Sensitivity Response | 2 | accepted | EID1739Treatment with tazemetostat , a small-molecule inhibitor of EZH2, results in concentration-dependent cell growth inhibition and cell death specifically in SS18-SSX-positive, SMARCB1-deficient synovial… (full text at CIViC) PMID 27391784 · Kawano et al., 2016 · Open in CIViC | civic |
| SSX1 Fusion7 | ||||||||
| (diagnostic) | Synovial Sarcoma | Diagnostic | A | Supports Positive | 4 | accepted | EID1063A t(X;18) translocation resulting in the fusion SYT-SSX (SS18-SSX1 or SS18-SSX2) is detected cytogenetically in over 90% of synovial sarcomas, regardless of histologic subtype. The prevalence of this … (full text at CIViC) PMID 11607825 · Ladanyi, 2001 · Open in CIViC | civic |
| 〃 | Synovial Sarcoma | Diagnostic | B | Supports Positive | 4 | accepted | EID1069In this review, the author summarize the role of this fusion in diagnosis of synovial sarcomas. Cytogenetic studies have repeatedly demonstrated the t(X;18)(p11;q11) translocation in approximately 90%… (full text at CIViC) PMID 11122430 · Pfeifer et al., 2000 · Open in CIViC | civic |
| 〃 | Synovial Sarcoma | Diagnostic | B | Supports Positive | 4 | accepted | ||
| SSX2 Fusion4 | ||||||||
| (diagnostic) | Synovial Sarcoma | Diagnostic | A | Supports Positive | 4 | accepted | EID1064A t(X;18) is detected cytogenetically in over 90% of synovial sarcomas, regardless of histologic subtype. This translocation results primarily in two fusions. SYT-SSX1 (aka SS18-SSX1) and SYT-SSX2 (ak… (full text at CIViC) PMID 11607825 · Ladanyi, 2001 · Open in CIViC | civic |
| 〃 | Synovial Sarcoma | Diagnostic | B | Supports Positive | 3 | accepted | EID1066A characteristic SYT-SSX fusion gene resulting from the chromosomal translocation t(X;18)(p11;q11) is detectable in almost all synovial sarcomas. SYT (aka SS18) pairs with various 3' partners know as … (full text at CIViC) PMID 9428816 · Kawai et al., 1998 · Open in CIViC | civic |
| (prognostic) | Synovial Sarcoma | Prognostic | B | Supports Better Outcome | 3 | accepted | ||
| SSX4 Fusion1 | ||||||||
| (diagnostic) | Synovial Sarcoma | Diagnostic | C | Supports Positive | 2 | accepted | EID1074Three synovial sarcomas were assayed for SYT-SSX fusion messenger RNA by nested RT-PCR. In a single case an SYT-SSX4 (SS18-SSX4) fusion was detected. The majority of synovial sarcomas are characterize… (full text at CIViC) PMID 10359553 · Skytting et al., 1999 · Open in CIViC | civic |
| NTRK1 Fusion1 | ||||||||
| (oncogenic) | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Oncogenic | C | Supports Oncogenicity | 1 | accepted | EID11704An intra-chromosomal TPR::NTRK1 fusion was found in a superficial soft tissue tumor located on the hand of a 7-year-old girl. The tumor had a prominently infiltrative growth pattern reminiscent of lip… (full text at CIViC) PMID 27259011 · Agaram et al., 2016 · Open in CIViC | civic |
| NTRK1 Fusion1 | ||||||||
| (diagnostic) | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Diagnostic | B | Supports Positive | 3 | accepted | EID7293Among pediatric fibroblastic and myofibroblastic proliferating superficial lesions, lipofibromatosis (LPF), composed of an admixture of adipose tissue and fibroblastic elements, has been variously cla… (full text at CIViC) PMID 27259011 · Agaram et al., 2016 · Open in CIViC | civic |
| TFE3 Fusion3 | ||||||||
| (diagnostic) | PEComaALIAS | Diagnostic | B | Supports Positive | 4 | accepted | EID11606In this study, the authors evaluated 60 Xp11 translocation neoplasms, including 8 perivascular epithelioid cell tumors (PEComas), to characterize the diagnostic significance of TFE3 fusion variants. U… (full text at CIViC) PMID 26975036 · Argani et al., 2016 · Open in CIViC | civic |
| 〃 | PEComaALIAS | Diagnostic | B | Supports Positive | 3 | accepted | EID12690In this study the authors examined six gynecologic tract perivascular epithelioid cell tumors (PEComas) that were previously diagnosed as PEComa but demonstrated unusual morphology suggestive of TFE3 … (full text at CIViC) PMID 25517951 · Schoolmeester et al., 2015 · Open in CIViC | civic |
| 〃 | PEComaALIAS | Diagnostic | ||||||
Data updated 13 hours agoSource updated unknownsource: civic (CC0)
Evidence levels, directions and ratings are those assigned by CIViC curators. "Submitted" items have not completed curation review. This is not treatment guidance.
| Diagnostic |
| B |
| Supports Positive |
| 3 |
| accepted |
EID12830In this 2002 study by Cristina R Antonescu et al., 12 histologically confirmed cases of clear cell sarcoma (CCS) arising in the deep soft tissues of the extremities were analyzed to assess the prevale… (full text at CIViC) PMID 11826187 · Antonescu et al., 2002 · Open in CIViC |
| civic |
| Crizotinib | Clear Cell Sarcoma of Soft TissueALIAS | Predictive | B | Supports Sensitivity Response | 2 | submitted | EID7931Phase 2 clinical trial tested crizotinib in clear-cell sarcoma (CCSA) patients. Patients were grouped by presence (MET+) or absence (MET-) of the EWSR1 rearrangement. Objective PR observed in 1/26 M… (full text at CIViC) PMID 29741569 · Schöffski et al., 2019 · Open in CIViC | civic |
| Trabectedin | Clear Cell Sarcoma of Soft TissueALIAS | Predictive | C | Supports Sensitivity Response | 3 | submitted | EID12166This case describes the treatment of a patient with a malignant gastrointestinal neuroectodermal tumour (GNET) harbouring an EWSR1-ATF1 fusion, initially treated with chemotherapy and radiotherapy. Af… (full text at CIViC) PMID 38074516 · Galera et al., 2023 · Open in CIViC | civic |
| 3 |
| accepted |
EID12853In this study, the authors report a 34‑year-old patient with angiomatoid fibrous histiocytoma (AFH) who initially presented with a pulmonary nodule and a 4th‑rib lesion and subsequently developed meta… (full text at CIViC) PMID 39845329 · Feng et al., 2024 · Open in CIViC |
| civic |
| (prognostic) | Angiomatoid Fibrous Histiocytoma | Prognostic | C | Supports Poor Outcome | 1 | rejected | EID12854The EWSR1::CREB1 fusion associated with t(2;22)(q33;q12) represents a defining diagnostic alteration in angiomatoid fibrous histiocytoma (AFH); in this case, a 34‑year‑old patient initially presented … (full text at CIViC) PMID 39845329 · Feng et al., 2024 · Open in CIViC | civic |
| 2 |
| accepted |
EID11407Molecular analysis of desmoplastic small round cell tumors with recurrent translocation, t(11;22) (p13;q12) identified EWSR1 on 22q12 and WT1 on 11p13 as the genes involved in the rearrangement. Furt… (full text at CIViC) PMID 8187063 · Ladanyi et al., 1994 · Open in CIViC |
| civic |
| Diagnostic |
| C |
| Supports Positive |
| 3 |
| accepted |
EID11577A 21-year-old man demonstrated intermittent abdominal pain, and a CT scan revealed an abnormal paraspinal lesion. Biopsy revealed a spindle cell mesenchymal tumor with monotonous, bland spindle cells … (full text at CIViC) PMID 32782782 · Dupuis et al., 2020 · Open in CIViC |
| civic |
| 〃 | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Diagnostic | C | Supports Positive | 3 | accepted | EID11650A 3-year-old girl presented with spots on her right buttock that evolved into lumps. Magnetic resonance imaging showed diffuse subcutaneous tissue thickening without significant involvement of underly… (full text at CIViC) PMID 32299759 · Malik et al., 2020 · Open in CIViC | civic |
| Entrectinib | NTRK-Rearranged Spindle Cell NeoplasmALIAS | Predictive | C | Supports Sensitivity Response | 3 | accepted | EID11578A 21-year-old man demonstrated intermittent abdominal pain, and a CT scan revealed an abnormal paraspinal lesion. IHC was positive for CD34, S-100, and pan-TRK and negative for Sox10. Anchored multip… (full text at CIViC) PMID 32782782 · Dupuis et al., 2020 · Open in CIViC | civic |
EID1070In this study, 141 spindle cell sarcomas were evaluated for the presence of t(X;18) by RT-PCR. 85% of the synovial sarcomas were positive for this event. The study did not indicate the specific fusion… (full text at CIViC) PMID 11144931 · O'Sullivan et al., 2000 · Open in CIViC |
| civic |
| (prognostic) | Synovial Sarcoma | Prognostic | B | Supports Poor Outcome | 4 | accepted | EID1072This study collected data on SYT-SSX fusion type, pathology, and clinical course in a retrospective multi-institutional study of 243 patients (age range, 6-82) with synovial sarcoma. SYT-SSX1 and SYT-… (full text at CIViC) PMID 11782370 · Ladanyi et al., 2002 · Open in CIViC | civic |
| (diagnostic) | Synovial Sarcoma | Diagnostic | B | Supports Positive | 4 | accepted | EID12122This study used RT-PCR assays to screen tumor blocks for SS18::SSX1 fusion transcripts in 134 synovial sarcomas cases. 194 normal tissue and samples from unrelated tumor types were used as negative co… (full text at CIViC) PMID 17334349 · Amary et al., 2007 · Open in CIViC | civic |
| 〃 | Synovial Sarcoma | Diagnostic | B | Supports Positive | 3 | accepted | EID1065A characteristic SYT-SSX fusion gene resulting from the chromosomal translocation t(X;18)(p11;q11) is detectable in almost all synovial sarcomas. SYT (aka SS18) pairs with various 3' partners know as … (full text at CIViC) PMID 9428816 · Kawai et al., 1998 · Open in CIViC | civic |
| (prognostic) | Synovial Sarcoma | Prognostic | B | Supports Poor Outcome | 3 | accepted | EID1068In this study, SYT-SSX fusion transcripts (SS18-SSX1 and SS18-SSX2) were detected in 29 (64%) and 16 (36%) of the tumors, respectively. There was a significant relationship (P=0.003) between histologi… (full text at CIViC) PMID 9428816 · Kawai et al., 1998 · Open in CIViC | civic |
EID1067In this study, SYT-SSX fusion transcripts (SS18-SSX1 and SS18-SSX2) were detected in 29 (64%) and 16 (36%) of the tumors, respectively. There was a significant relationship (P=0.003) between histologi… (full text at CIViC) PMID 9428816 · Kawai et al., 1998 · Open in CIViC |
| civic |
| 〃 | Synovial Sarcoma | Prognostic | B | Supports Better Outcome | 3 | accepted | EID1073This study collected data on SYT-SSX fusion type, pathology, and clinical course in a retrospective multi-institutional study of 243 patients (age range, 6-82) with synovial sarcoma. SYT-SSX1 and SYT-… (full text at CIViC) PMID 11782370 · Ladanyi et al., 2002 · Open in CIViC | civic |
| B |
| Supports Positive |
| 3 |
| accepted |
EID12691In this 2025 study, the authors included 14 confirmed TFE3-rearranged perivascular epithelioid cell tumors (PEComas), previously classified as benign (9 tumors) or malignant (5 tumors), and compared t… (full text at CIViC) PMID 40462401 · Papke et al., 2025 · Open in CIViC |
| civic |