Correlation between tumor stroma ratio, prognosis, and apparent diffusion coefficient in alveolarsoftpartsarcoma. To investigate the correlation between tumor stroma ratio (TSR) and survival in patients with alveolarsoftpartsarcoma (ASPS), and the application of apparent diffusion coefficient (ADC) histogram parameters in assessing TSR. This retrospective study collected 61 patients from
Atezolizumab for Advanced AlveolarSoftPartSarcoma. Alveolarsoftpartsarcoma (ASPS) is a rare soft-tissue sarcoma with a poor prognosis and no established therapy. Recently, encouraging responses to immune checkpoint inhibitors have been reported. We conducted an investigator-initiated, multicenter, single-group, phase 2 study of the anti-programmed death ligand 1 (PD-L1) agent atezolizumab
How to develop new systemic treatments in ultra-rare cancers with high unmet needs? The case of alveolarsoft-partsarcoma. Developing new drugs or generating evidence for existing drugs in new indications for ultra-rare cancers is complex and carries a high-risk of failure. This gets even harder in ultra-rare tumours, which have an annual incidence of 1 per 1,000,000 population or less. Here, we illustrate the problem of adequate evidence generation in ultra-rare tumours, using AlveolarSoft-PartSarcomas (ASPS) - an ultra-rare sarcoma newly diagnosed in approximately 60 persons a year in the European Union - as an exemplar case showing challenges in development despite being potentially relevant for classes of agents. We discuss some possible approaches for addressing such challenges, especially
Efficacy and safety of nivolumab monotherapy in patients with unresectable clear cell sarcoma and alveolarsoftpartsarcoma (OSCAR Trial/NCCH1510). Clear cell sarcoma (CCS) and alveolarsoftpartsarcoma (ASPS) are rare, and standard systemic therapy is not established except for sunitinib in ASPS. It is known that CCS and ASPS have a common biological feature of melanoma and Xp11.2/TFE3
Cheek alveolarsoftpartsarcoma recurrence at the primary site during follow-up: a case report and review of the literature. Alveolarsoftpartsarcoma (ASPS) occurs most often in the deep muscles or fascia of the extremities in adults, with only 3.4% of these tumours originating from the head, face and neck. To date, only 17 cases of buccal ASPS have been reported, including the case presented
Alveolarsoftpartsarcomas in young patients: The French national NETSARC+ network experience. Alveolarsoftpartsarcoma (ASPS) is an ultra-rare chemo-resistant sarcoma in children, occurring preferentially in young adults. We aimed to describe and compare its clinical presentation and behaviour in children and young adults to determine whether the same therapeutic strategy should be addressed
Anlotinib plus TQB2450, a PD-L1 Antibody, in Patients with Advanced AlveolarSoftPartSarcoma: a single-arm, phase 2 trial. Alveolarsoftpartsarcoma (ASPS) is an ultra-rare soft-tissue sarcoma with a high rate of metastasis and no established treatment. This study aimed to explore the efficacy and safety of anlotinib (a tyrosine-kinase inhibitor) and TQB2450 (a PD-L1 inhibitor) in ASPS
TFE3-rearranged Head and Neck Neoplasms: Twenty-two Cases Spanning the Morphologic Continuum Between AlveolarSoftPartSarcoma and PEComa and Highlighting Genotypic Diversity. TFE3 rearrangements characterize histogenetically, topographically, and biologically diverse neoplasms. Besides being a universal defining feature in alveolarsoftpartsarcoma (ASPS) and clear cell stromal tumor
Ultrasound characteristics of alveolarsoftpartsarcoma in pediatric patients: a retrospective analysis. This study aims to review and summarize the ultrasound characteristics of alveolarsoftpartsarcoma (ASPS) in children. We retrospectively analyzed 20 pediatric ASPS cases confirmed by surgery or biopsy at our hospital between January 2014 and January 2024. Clinical data, including age, sex
PEComa with ASPSCR1::TFE3 fusion: expanding the molecular genetic spectrum of TFE3-rearranged PEComa with an emphasis on overlap with alveolarsoftpartsarcoma. Mesenchymal neoplasms involving TFE3 gene fusions are diverse, mainly include alveolarsoftpartsarcoma (ASPS) that is characterised by ASPSCR1::TFE3 fusion, and a small subset of perivascular epithelioid cell tumours (PEComas
A case report and literature review on nephrogenic alveolarsoftpartsarcoma: clinicopathological manifestations and genetic features. Alveolarsoftpartsarcoma (ASPS) is a rare kind of malignant soft tissue tumor with undefined differentiation, of which the incidence rate accounts for only 0.5-1.0% among all kinds of soft tissue tumors. An even rarer ASPS occurs in kidney. Here we reported
Exploratory study of an anti-PD-L1/TGF-β antibody, TQB2858, in patients with refractory or recurrent osteosarcoma and alveolarsoftpartsarcoma: a report from Chinese sarcoma study group (TQB2858-Ib-02). Novel and effective immunotherapies are required for refractory or recurrent sarcomas. Transforming growth factor-beta (TGF-β) is a diverse regulatory and fibrogenic protein expressed in multiple sarcoma tumors that promotes epithelial-mesenchymal transition and excessive deposition of extracellular matrix. This study evaluated the efficacy and safety of the anti-PD-L1/TGF-β antibody TQB2858 in patients with refractory osteosarcoma and alveolarsoftpartsarcoma (ASPS). This single-arm phase 1b exploratory study included patients with refractory osteosarcoma or ASPS who had previously
Microsurgical Management of Early Onset AlveolarSoftPartSarcoma of the Oral Tongue: Case Report and Review of the Literature. Alveolarsoftpartsarcoma is a rare subset of soft tissue sarcomas, typically presenting in subjects 15 to 35 years of age. Usual presentation sites are the trunk, extremities, and the head and neck. Subjects younger than 5 years are rarely affected . In this retrospective case report, we present a 16-month old male with a rapidly growing soft tissue mass of the anterior and posterior tongue, found to be alveolarsoftpartsarcoma. The subject was treated with primary surgical resection and the resulting defect was reconstructed with a radial forearm free flap. To our knowledge, this is the youngest subject to have been diagnosed with alveolarsoftpartsarcoma
Alveolarsoftpartsarcoma: progress toward improvement in survival? A population-based study. Alveolarsoftpartsarcoma (ASPS) is a rare histological subtype of soft-tissue sarcoma, which remains refractory to conventional cytotoxic chemotherapy. We aimed to characterize ASPS and investigate whether the oncological outcome has improved over the past decade. One hundred and twenty patients
Randomized Phase 2 Trial of Sunitinib or Cediranib in AlveolarSoftPartSarcoma. Alveolarsoftpartsarcoma (ASPS) is a rare, highly vascular tumor with few treatment options. We designed a phase 2 randomized trial to determine the activity and tolerability of single-agent cediranib or sunitinib in patients with advanced metastatic ASPS. Patients 16 years of age and older were randomized
Paediatric orbital alveolarsoftpartsarcoma recurrence during long-term follow-up: a report of 3 cases and a review of the literature. Alveolarsoftpartsarcoma (ASPS) is a clinically and morphologically distinct malignant soft tissue tumour. It occurs mostly in the lower extremities in adults. The purpose of our study was to describe the related clinicopathologic factors, treatment
Alveolarsoftpartsarcoma of the right calf: A case report. Alveolarsoftpartsarcoma (ASPS) is a rare malignant soft tissue neoplasm with controversial histogenesis. ASPS accounts for 0.5% to 1% of all soft tissue sarcomas. Because of its rarity, ASPS is easily misdiagnosed, increasing the risk of incorrect treatment. A 6-year-old female patient presented with a history of a 2.0 × 2.5 × 3.0
Second Reported Case of Pediatric Bladder AlveolarSoftPartSarcoma as Secondary Malignancy After Prior Cytotoxic Chemotherapy. Alveolarsoftpartsarcoma (ASPS) is a rare malignancy with high rates of metastasis at presentation, defined by an unclear cellular origin and a unique unbalanced ASPSCR1-TFE3 translocation (der(17)t(X:17)(p11:q25)). ASPS is insensitive to chemotherapy and has been
Cediranib in patients with alveolarsoft-partsarcoma (CASPS): a double-blind, placebo-controlled, randomised, phase 2 trial. Alveolarsoft-partsarcoma (ASPS) is a rare soft-tissue sarcoma that is unresponsive to chemotherapy. Cediranib, a tyrosine-kinase inhibitor, has shown substantial activity in ASPS in non-randomised studies. The Cediranib in AlveolarSoftPartSarcoma (CASPS) study
Axitinib plus pembrolizumab in patients with advanced sarcomas including alveolarsoft-partsarcoma: a single-centre, single-arm, phase 2 trial. VEGF promotes an immunosuppressive microenvironment and contributes to immune checkpoint inhibitor resistance in cancer. We aimed to assess the activity of the VEGF receptor tyrosine-kinase inhibitor axitinib plus the anti-PD-1 immune checkpoint inhibitor pembrolizumab in patients with sarcoma. This single-centre, single-arm, phase 2 trial was undertaken at a tertiary care academic medical centre in Miami, FL, USA, and participants were recruited from all over the USA and internationally. Patients were eligible if they were aged 16 years or older, and had histologically confirmed advanced or metastatic sarcomas, including alveolarsoft-part