“…On IHC, these atypical cells lining the papillary structures were positive for CK7, CA125 and PAX-8, and negative for PSA, AMACR, CK20, CDX-2, p63, GATA3, WT1, and calretinin. The Ki-67 index is about 30%-40% in these cells ( Figure 2 PSVA is an extremely rare tumour, with about 100 cases reported in the literature (Campobasso, Fornia, Ferretti, Maestroni, & Cortellini, 2012;Egevad, Ehrnström, Håkansson, & Grabe, 2007;Katafigiotis et al, 2016;Montironi et al, 2014;Ormsby, Haskell, Jones, & Goldblum, 2000;Oxley, Brett, Gillatt, & Burton, 1999;Posenato et al, 2017;Terrisse et al, 2017;Thiel & Effert, 2002;Yin & Jiang, 2018). The mean age of presentation is 62 years (range, 17-90 years).…”