Table 1

Newly defined and emerging neoplasms which have fusion/gene rearrangements included in diagnostic molecular pathology or diagnostic criteria in the fifth edition of the WHO Classification of Soft Tissue and Bone Tumours

NeoplasmDiagnostic molecular pathologyEssential and desirable diagnostic criteria
EWSR1::SMAD3 positive fibroblastic tumour EWSR1::SMAD3 fusionEssential: histology, immunophenotype
Desirable: molecular (if available)
NTRK-rearranged spindle cell neoplasm NTRK fusionsEssential: histology, immunophenotype including tumours with NTRK1 fusions showing NTRK1 immunoreactivity
Desirable: detection of NTRK fusions is usually required for determination of therapy
Round cell sarcoma with EWSR1-non-ETS fusions EWSR1::NFATC2, FUS::NFATC2, and EWSR1::PATZ1 fusionsEssential: histology and molecular
Desirable: clinical-most NFATC2-rearranged tumours are located in long bones;
PATZ1-rearranged sarcomas histology and immunophenotype (both myogenic and neurogenic)
CIC-rearranged sarcoma CIC gene rearrangementsEssential: histology, immunophenotype
Desirable: molecular (in selected cases)
Sarcoma with BCOR genetic alterations BCOR gene rearrangements and BCOR-ITDEssential: histology, immunophenotype
Desirable (in selected cases): molecular