Pulmonary Adenocarcinoma With Enteric Differentiation: Immunohistochemistry and Molecular Morphology
| Autor: | Fabrizio Tabbò, Antonio Santo, Sara Cingarlini, Eliana Gilioli, Licia Montagna, Marco Chilosi, Claudio Doglioni, Serena Pedron, Matteo Brunelli, Albino Eccher, Alessia Nottegar, Claudio Luchini, Emilio Bria, Nicola Veronese, Giorgio Inghirami, Maria Giulia Cangi, Chiara Ogliosi |
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| Přispěvatelé: | Nottegar, A., Tabbo, F., Luchini, C., Brunelli, M., Bria, E., Veronese, N., Santo, A., Cingarlini, S., Gilioli, E., Ogliosi, C., Eccher, A., Montagna, L., Pedron, S., Doglioni, C., Cangi, M. G., Inghirami, G., Chilosi, M., Tabbò, F., Cangi, M.G. |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Pathology medicine.medical_specialty Lung Neoplasms Histology intestinal-type adenocarcinoma Cellular differentiation DNA Mutational Analysis Thyroid Nuclear Factor 1 Adenocarcinoma Biology medicine.disease_cause Pathology and Forensic Medicine Metastasis Diagnosis Differential Proto-Oncogene Proteins p21(ras) 03 medical and health sciences 0302 clinical medicine KRAS Biomarkers Tumor medicine Humans CDX2 Transcription Factor Pathology Molecular enteric lung adenocarcinoma intestinal-type adenocarcinoma CDX-2 CDX2 KRAS Lung Keratin-7 enteric Cancer Cell Differentiation Pulmonary adenocarcinoma with enteric differentiation (PAED) lung adenocarcinoma medicine.disease CDX-2 Immunohistochemistry Medical Laboratory Technology 030104 developmental biology medicine.anatomical_structure CDX2 Alveolar Epithelial Cells 030220 oncology & carcinogenesis Mutation Differential diagnosis Colorectal Neoplasms |
| Zdroj: | Europe PubMed Central |
| Popis: | Pulmonary adenocarcinoma with enteric differentiation (PAED) is a rare subtype of lung adenocarcinoma recently recognized in the WHO classification. It is defined as an adenocarcinoma in which the enteric component exceeds 50% and have to show the expression of at least 1 immunohistochemical marker of enteric differentiation. Although the definition of this tumor type is very important, above all in the differential diagnosis between a primary lung tumor and a metastasis of colorectal adenocarcinoma, this cancer still lacks a distinctive immunohistochemical and molecular signature. We recruited the largest series in the literature of PAEDs according to the morphology and the positivity for intestinal markers. Then, we evaluated the immunohistochemical and molecular profile of these adenocarcinomas. In our series, CDX-2 and CK7 were the immunohistochemical markers mostly expressed by PAEDs. There was an inverse relationship between the expression of pnuemocytes markers, such as TTF-1, and intestinal markers. Molecular analysis revealed KRAS as the most frequently mutated gene (>60% of cases), with very few cases harboring abnormalities affecting EGFR, BRAF, and ALK genes. PAEDs are morphologically very heterogenous. The immunohistochemical profile based on CDX-2 and CK7 positivity of PAEDs appears very robust to support this diagnosis, and it is applicable also on small biopsies. KRAS appears as the most important mutated gene in such tumors. © 2016 Wolters Kluwer Health, Inc. All rights reserved. |
| Databáze: | OpenAIRE |
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