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A rare malignant soft tissue neoplasm of uncertain differentiation, characterized by the presence of chondroblast-like cells in a myxoid stroma and a multinodular growth pattern. The most common sites of involvement are the deep soft tissues of the extremities, particularly the thigh. It usually presents as an enlarging soft tissue mass. Patients may have long survivals, but local recurrences and metastases occur in approximately half of the cases. The most common site of metastasis is the lungs.
Features include: Chondrosarcoma.
NR4A3 encodes nuclear receptor subfamily 4 group A member 3 (626 aa). Transcriptional activator that binds to regulatory elements in promoter regions in a cell- and response element (target)-specific manner. Highest expression in Artery Tibial (41.6 TPM) and Adipose Visceral Omentum (35.6 TPM).
Extraskeletal myxoid chondrosarcoma is associated with mutations in the NR4A3 gene on chromosome 9.
The NR4A3 protein participates in NR4A3 gene expression is stimulated by RUNX1:CBFB, RUNX1:CBFB:NR4A3 gene, and RUNX1 regulates genes involved in megakaryocyte differentiation and platelet function pathways.
NR4A3 is classified as a druggable target (Clinically Actionable, Druggable Genome, Nuclear Hormone Receptor, Transcription Factor, Transcription Factor Complex, and Transporter categories) with score 3.2.
Genetic testing for NR4A3 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for extraskeletal myxoid chondrosarcoma has been reported in the published literature.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
5 clinical trials registered, 1 recruiting. Interventions under study include procedural interventions, drug therapy, other interventions, and biologic therapy. Pipeline includes 2 PHASE2, 1 PHASE1, 1 NA. Research is primarily sponsored by academic and government institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT06526897](https://clinicaltrials.gov/study/NCT06526897) |
Data assembled from 7 of 12 sources · Last updated Nov 2, 2026, 10:23 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Evaluation of Chest CT Versus Chest X-Ray for Lung Surveillance After Curative-Intent Resection of High-Risk Truncal-Extremity Soft Tissue Sarcoma |
NA |
ECOG-ACRIN Cancer Research Group |
NOT_YET_RECRUITING |
[NCT05836571](https://clinicaltrials.gov/study/NCT05836571) | Testing Ipilimumab and Nivolumab Combination With or Without Cabozantinib in People >= 18 Years Old With Advanced Soft Tissue Sarcoma | PHASE2 | National Cancer Institute LAO | ACTIVE_NOT_RECRUITING |
[NCT02180867](https://clinicaltrials.gov/study/NCT02180867) | Radiation Therapy With or Without Combination Chemotherapy or Pazopanib Before Surgery in Treating Patients With Newly Diagnosed Non-rhabdomyosarcoma Soft Tissue Sarcomas That Can Be Removed by Surgery | PHASE2 | National Cancer Institute (NCI) | UNKNOWN |
[NCT07734805](https://clinicaltrials.gov/study/NCT07734805) | Radiological Diagnosis of Pediatric Neck Swellings | — | Sohag University | ACTIVE_NOT_RECRUITING |
[NCT06239272](https://clinicaltrials.gov/study/NCT06239272) | NRSTS2021, A Risk Adapted Study Evaluating Maintenance Pazopanib, Limited Margin, Dose-Escalated Radiation Therapy and Selinexor in Non-Rhabdomyosarcoma Soft Tissue Sarcoma (NRSTS) | PHASE1 | St. Jude Children's Research Hospital | RECRUITING |
32 publications have been identified in PubMed for extraskeletal myxoid chondrosarcoma. Research spans Case Report / Case Series (53%), Diagnostic / Biomarker (19%), and Basic Science / Preclinical (16%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 17 | 53% |
Testing and diagnosis research | 6 | 19% |
Laboratory research | 5 | 16% |
Clinical study results | 2 | 6% |
Research summaries | 1 | 3% |
Disease patterns and progression | 1 | 3% |
Nagy A (2026). [PMID: 41930936](https://pubmed.ncbi.nlm.nih.gov/41930936/). *Adv Anat Pathol*. [Diagnostic / Biomarker]
Gunasekaran K (2026). [PMID: 41635359](https://pubmed.ncbi.nlm.nih.gov/41635359/). *Cureus*. [Case Report / Case Series]
Wang H (2026). [PMID: 41476450](https://pubmed.ncbi.nlm.nih.gov/41476450/). *Oncol Lett*. [Case Report / Case Series]
Ashburner G (2026). [PMID: 41074947](https://pubmed.ncbi.nlm.nih.gov/41074947/). *Skeletal Radiol*. [Epidemiology / Natural History]
Terao N (2026). [PMID: 41689087](https://pubmed.ncbi.nlm.nih.gov/41689087/). *World J Surg Oncol*. [Case Report / Case Series]
Jiang B (2026). [PMID: 42088406](https://pubmed.ncbi.nlm.nih.gov/42088406/). *Case Rep Pathol*. [Case Report / Case Series]
Qin XF (2026). [PMID: 41644428](https://pubmed.ncbi.nlm.nih.gov/41644428/). *Zhonghua Bing Li Xue Za Zhi*. [Basic Science / Preclinical]
Kawabata Y (2026). [PMID: 41799218](https://pubmed.ncbi.nlm.nih.gov/41799218/). *NMC Case Rep J*. [Case Report / Case Series]
Chen X (2026). [PMID: 41755350](https://pubmed.ncbi.nlm.nih.gov/41755350/). *Histopathology*. [Basic Science / Preclinical]
Iwata S (2025). [PMID: 40580361](https://pubmed.ncbi.nlm.nih.gov/40580361/). *Hum Cell*. [Basic Science / Preclinical]
AI-curated news mentioning extraskeletal myxoid chondrosarcoma
Updated Oct 6, 2026
A case report details a patient with recurrent dedifferentiated clival chondrosarcoma occurring 32 years post-initial treatment. This highlights the long-term monitoring needs for patients with this rare tumor type.