Plexiform Fibromyxoma: A Review and Discussion of the Differential Diagnosis of Gastrointestinal Mesenchymal Tumors.

Szczepanski, Julianne; Westerhoff, Maria; Schechter, Shula · Arch Pathol Lab Med · 2025

review · Level V

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Abstract

Plexiform fibromyxomas are uncommon gastrointestinal neoplasms that have histologic and molecular features that overlap with other gastrointestinal mesenchymal tumors and present a diagnostic challenge for surgical pathologists. To provide a review of the clinicopathologic, morphologic, immunohistochemical, and molecular features of plexiform fibromyxomas, with a brief discussion of key features that aid in differential diagnosis. Analysis of the pertinent literature (PubMed) and clinical practice experience based on institutional and consultation materials. Plexiform fibromyxoma is a rare benign gastrointestinal mesenchymal tumor. Diagnosis is primarily based on morphology, immunohistochemistry, and the exclusion of other gastrointestinal mesenchymal tumors from the differential diagnosis.

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