title: Fatal malignant metastastic epithelioid angiomyolipoma presenting in a young woman: case report and review of the literature.
abstract: Epithelioid angiomyolipomas (EAMLs) are rare mesenchymal tumors whose malignant variant is extremely uncommon and highly aggressive. Treatment strategies include chemo radiation, transcatheter arterial embolization and surgical resection, which has remained the mainstay treatment. Targeted therapies including mammalian target of rapamycin (mTOR) inhibitors such as Temsirolimus may offer some hope for progressive malignant EAMLs that are not amenable to other treatment modalities. We report a fatal case in a young female who presented with rapidly progressive metastatic EAML that did not respond to mTOR therapy. The literature has shown reduction in tumor burden with the use of mTOR inhibitors, but unfortunately due to the rarity of malignant EAML, a meaningful approach to treatment remains challenging.
authors.affiliation: Department of Internal Medicine, Penn State Milton S. Hershey Medical Center , Hershey, PA, USA.
authors.forename: Edward
authors.initials: E
authors.lastname: Wyluda
authors.forename: Giselle
authors.initials: G
authors.lastname: Baquero
authors.forename: Nicholas
authors.initials: N
authors.lastname: Lamparella
authors.forename: Catherine
authors.initials: C
authors.lastname: Abendroth
authors.forename: Joseph
authors.initials: J
authors.lastname: Drabick
keywords: malignant epithelioid angiomyolipomas; perivascular epithelioid cell tumors; targeted therapy