Case Report
Cardiac Epithelioid PEComa: Report of Two Cases and Review of the Literature
Table 4
Summary of clinicopathologic features of 7 reported cardiac PEComas.
| Case | Age | Sex | TSC | Site | Size (cm) | Morphology | Mitosis/50 HPF | Atypical mitosis | Necrosis | Followup (month) |
| 1 [14] | 48 | F | No | Rt atrium | 6 | Mixed vessels, smooth muscle, and fat | No | No | No | A&W, 20 | 2 [15] | 38 | F | No | Rt atrium | 34 | Mixed vessels, smooth muscle, and fat | Rare | — | — | Died, 9 days post-op | 3 [10] | 29 | M | — | Lt atrium | 12 | Epithelioid cells | 45 | Yes | Yes | Died, post-op (not tumor related) | 4 [16] | 20 | M | — | Pericardium | 15 | Epithelioid cells | >1 | NA | Yes | A&W, 6 | 5 [17] | 10 | F | No | Lt atrioventricular groove | 6 | Spindle and epithelioid cells with bland nuclei | Rare | — | No | A&W, 18 | 6* | 2 | F | No | Lt atrium | 6 | Epithelioid cells | 25/HPF | No | Yes | A&W, 32 | 7* | 33 | F | No | Lt atrium | NA | Epitheliod cells | 46/HPF | Yes | Yes | AWD, 36 |
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A&W: alive and well; post-op: postoperation; AWD: alive with disease; *: our cases.
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