PMID- 23270897 OWN - NLM STAT- MEDLINE DCOM- 20130219 LR - 20201218 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 139 IP - 1 DP - 2013 Jan TI - Diagnostic usefulness of p16/CDKN2A FISH in distinguishing between sarcomatoid mesothelioma and fibrous pleuritis. PG - 39-46 LID - 10.1309/AJCPT94JVWIHBKRD [doi] AB - The distinction between sarcomatoid mesothelioma and fibrous pleuritis is difficult based on histology, especially when the amount of tumor tissue examined via biopsy is small and immunohistochemical examination is inconclusive. We studied the usefulness of deletion of p16 with fluorescence in situ hybridization (FISH) and p16 hypermethylation with polymerase chain reaction for the diagnosis and prognosis of malignant pleural mesothelioma (MPM). We analyzed 50 MPMs, including 22 sarcomatoid mesothelioma cases and 10 fibrous pleuritis cases. We set the cutoff value of homozygous deletion pattern as 14.4% based on FISH signaling patterns using samples of fibrous pleuritis. The percentage of homozygous deletion pattern was higher than 14.4% in 55.6% of the epithelioid mesotheliomas (10/18) and in all of the sarcomatoid mesotheliomas (22/22). Methylation of p16 was observed in 7 (20.6%) of 34 informative cases. p16 FISH analysis can be a reliable test for distinguishing between sarcomatoid mesothelioma and fibrous pleuritis and a prognostic factor for MPM. FAU - Wu, Di AU - Wu D AD - Dept of Pathology, Tokyo Women's Medical University Yachiyo Medical Center, Owada-Shinden, Yachiyo, Chiba, Japan. FAU - Hiroshima, Kenzo AU - Hiroshima K FAU - Matsumoto, Shinji AU - Matsumoto S FAU - Nabeshima, Kazuki AU - Nabeshima K FAU - Yusa, Toshikazu AU - Yusa T FAU - Ozaki, Daisuke AU - Ozaki D FAU - Fujino, Michio AU - Fujino M FAU - Yamakawa, Hisami AU - Yamakawa H FAU - Nakatani, Yukio AU - Nakatani Y FAU - Tada, Yuji AU - Tada Y FAU - Shimada, Hideaki AU - Shimada H FAU - Tagawa, Masatoshi AU - Tagawa M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Biomarkers, Tumor) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/genetics/metabolism MH - Cyclin-Dependent Kinase Inhibitor p16/*genetics/metabolism MH - DNA Methylation MH - Diagnosis, Differential MH - Female MH - Fibrosis/*diagnosis/genetics/metabolism MH - Gene Deletion MH - Gene Expression Regulation, Neoplastic MH - Gene Silencing MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/*diagnosis/genetics/metabolism MH - Male MH - Mesothelioma/*diagnosis/genetics/metabolism MH - Mesothelioma, Malignant MH - Middle Aged MH - Pleural Neoplasms/*diagnosis/genetics/metabolism MH - Pleurisy/*diagnosis/genetics/metabolism MH - Prognosis MH - Sarcoma/*diagnosis/genetics/metabolism EDAT- 2012/12/29 06:00 MHDA- 2013/02/21 06:00 CRDT- 2012/12/29 06:00 PHST- 2012/12/29 06:00 [entrez] PHST- 2012/12/29 06:00 [pubmed] PHST- 2013/02/21 06:00 [medline] AID - 139/1/39 [pii] AID - 10.1309/AJCPT94JVWIHBKRD [doi] PST - ppublish SO - Am J Clin Pathol. 2013 Jan;139(1):39-46. doi: 10.1309/AJCPT94JVWIHBKRD.