PMID- 20237994 OWN - NLM STAT- MEDLINE DCOM- 20100902 LR - 20240322 IS - 1936-0568 (Electronic) IS - 1936-055X (Print) IS - 1936-055X (Linking) VI - 4 IP - 1 DP - 2010 Mar TI - The small round blue cell tumors of the sinonasal area. PG - 84-93 LID - 10.1007/s12105-009-0158-6 [doi] AB - The diagnostic classification of small round blue cell tumors of the sinonasal area to include diverse malignancies of epithelial, hematolymphoid, neuroectodermal, and mesenchymal origin is challenging to the surgical pathologist using conventional histopathologic approaches because the cytomorphologic features are often overlapping or indistinctive. Rare or occasional clinical presentations in atypical age groups or unusual locations, as well as small biopsy samples may further complicate the differential diagnosis. Immunohistochemistry represents an extensively investigated ancillary technique that may aid in the provision of a definitive diagnosis. In recent years, certain small round blue cell tumors have been shown by cytogenetic analysis to have specific and primary chromosomal alterations, providing clinicians with a valuable tool to enhance their diagnostic armamentarium. The addition of molecular cytogenetic [fluorescence in situ hybridization (FISH), comparative genomic hybridization (CGH)] and molecular pathologic [polymerase chain reaction (PCR) and reverse transcriptase (RT)-PCR] approaches has further enhanced the sensitivity and accuracy of detecting these genetic alterations including assessment in formalin-fixed, paraffin-embedded tissues. Establishing an accurate diagnosis of a small round blue cell tumor of the sinonasal tract frequently requires adjunctive studies including immunohistochemical and molecular analyses. FAU - Bridge, Julia A AU - Bridge JA AD - Department of Pathology, 983135 Nebraska Medical Center, University of Nebraska Medical Center, Omaha, NE 68198-3135, USA. jbridge@unmc.edu FAU - Bowen, Joslin M AU - Bowen JM FAU - Smith, Russell B AU - Smith RB LA - eng PT - Journal Article PT - Review DEP - 20100126 PL - United States TA - Head Neck Pathol JT - Head and neck pathology JID - 101304010 RN - 0 (Biomarkers, Tumor) RN - 0 (DNA, Neoplasm) SB - IM MH - Biomarkers, Tumor/metabolism MH - Comparative Genomic Hybridization MH - DNA, Neoplasm/analysis MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Paranasal Sinus Neoplasms/*diagnosis/genetics/metabolism MH - Pathology, Molecular/methods MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sarcoma, Small Cell/*diagnosis/genetics/metabolism PMC - PMC2825526 EDAT- 2010/03/20 06:00 MHDA- 2010/09/03 06:00 PMCR- 2011/01/26 CRDT- 2010/03/19 06:00 PHST- 2009/12/01 00:00 [received] PHST- 2009/12/19 00:00 [accepted] PHST- 2010/03/19 06:00 [entrez] PHST- 2010/03/20 06:00 [pubmed] PHST- 2010/09/03 06:00 [medline] PHST- 2011/01/26 00:00 [pmc-release] AID - 158 [pii] AID - 10.1007/s12105-009-0158-6 [doi] PST - ppublish SO - Head Neck Pathol. 2010 Mar;4(1):84-93. doi: 10.1007/s12105-009-0158-6. Epub 2010 Jan 26.