PMID- 22777717 OWN - NLM STAT- MEDLINE DCOM- 20140528 LR - 20211203 IS - 1940-2465 (Electronic) IS - 1066-8969 (Linking) VI - 21 IP - 2 DP - 2013 Apr TI - Clinicopathological significance of NUT rearrangements in poorly differentiated malignant tumors of the upper respiratory tract. PG - 102-10 LID - 10.1177/1066896912451651 [doi] AB - Nuclear protein in testis (NUT) midline carcinoma (NMC) is a highly malignant carcinoma originating from the midline of the body. This study investigated the clinicopathological significance of NUT rearrangements in poorly differentiated malignant tumors (PDMTs) of the upper-respiratory tract (URT) in China. The clinical and pathological features of 155 PDMTs of the URT were reviewed. Epstein-Barr virus (EBV)-encoded RNA and NUT were investigated by in situ hybridization and immunohistochemistry (IHC), respectively. NUT-positive cases were examined by fluorescence in situ hybridization (FISH) and immunohistochemical staining with a set of cytokeratins (CKs) and neuroendocrine markers. One case was observed by transmission electron microscopy. Four cases of poorly differentiated squamous cell carcinomas and sinonasal undifferentiated carcinomas were diffuse positive for NUT by IHC and also stained for antibodies to CKs and P63 but were negative for neuroendocrine markers. Only 2 of these 4 cases showed rearrangements of the NUT and BRD4 genes by FISH; both these patients died within 12 months. The remaining 2 patients showed no NUT rearrangement by FISH and did not have an aggressive clinical course. NMC is a rare, poorly differentiated carcinoma, which occurs most often in midline organs, and in this first series from China, affected the sinonasal tract of older adults and was not associated with EBV infection. Determination of NUT protein expression and gene rearrangement can allow the differentiation of NMC from other URT PDMTs. The authors suggest that molecular determination of NUT gene rearrangements should therefore represent the gold standard for NMC diagnosis. FAU - Fang, Wei AU - Fang W AD - Department of Pathology, Beijing Tongren Hospital, Capital Medical University, Beijing, China. FAU - French, Christopher A AU - French CA FAU - Cameron, Michael J AU - Cameron MJ FAU - Han, Yiding AU - Han Y FAU - Liu, Honggang AU - Liu H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120709 PL - United States TA - Int J Surg Pathol JT - International journal of surgical pathology JID - 9314927 RN - 0 (Biomarkers, Tumor) RN - 0 (NUTM1 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins) RN - Sinonasal undifferentiated carcinoma SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers, Tumor/*genetics MH - Carcinoma/*genetics/*pathology MH - Carcinoma, Squamous Cell/genetics/pathology MH - Child MH - Child, Preschool MH - Female MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Infant MH - Male MH - Maxillary Sinus Neoplasms/*genetics/*pathology MH - Microscopy, Electron, Transmission MH - Middle Aged MH - Neoplasm Proteins MH - Nuclear Proteins/*genetics MH - Oncogene Proteins/*genetics MH - Treatment Outcome MH - Young Adult EDAT- 2012/07/11 06:00 MHDA- 2014/05/29 06:00 CRDT- 2012/07/11 06:00 PHST- 2012/07/11 06:00 [entrez] PHST- 2012/07/11 06:00 [pubmed] PHST- 2014/05/29 06:00 [medline] AID - 1066896912451651 [pii] AID - 10.1177/1066896912451651 [doi] PST - ppublish SO - Int J Surg Pathol. 2013 Apr;21(2):102-10. doi: 10.1177/1066896912451651. Epub 2012 Jul 9.