PMID- 24513264 OWN - NLM STAT- MEDLINE DCOM- 20141028 LR - 20201209 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 84 IP - 1 DP - 2014 Apr TI - Pulmonary adenosquamous carcinoma with mucoepidermoid carcinoma-like component with characteristic p63 staining pattern: either a novel subtype originating from bronchial epithelium or variant mucoepidermoid carcinoma. PG - 45-50 LID - S0169-5002(14)00045-2 [pii] LID - 10.1016/j.lungcan.2014.01.010 [doi] AB - BACKGROUND: Our previous study found unique adenosquamous carcinomas (ADSQs) containing a mucoepidermoid carcinoma (MEC)-like component and a characteristic p63 staining pattern. This study focused on these unique ADSQs. METHODS: Thirty ADSQ cases were studied histologically and by immunohistochemistry for TTF-1 and p63. Of these 30 ADSQs, eight were selected as unique ADSQs. The clinicopathological characteristics of these ADSQs were further studied, and the gene rearrangement of mammalian mastermind-like 2 (MAML2) was investigated by fluorescence in situ hybridization (FISH) for differentiation from pulmonary MEC. RESULTS: The clinicopathological characteristics between the eight ADSQs and the other ADSQ cases showed no statistically significant differences, except for serum CEA level. Histologically, the eight ADSQs contained varying degrees of the MEC-like component, which consisted of solid nests with mucin-filled cysts or a cribriform-like structure. Immunohistochemically, p63-positive nuclei characteristically encircled the tumor nests, although TTF-1 was completely negative. All unique ADSQs not only had a variable degree of squamous cell carcinoma component in addition to the MEC-like component, but also contained a small tubular adenocarcinoma component in three tumors. FISH analysis revealed no MAML2 gene rearrangement in the eight ADSQs. CONCLUSIONS: Of the 30 ADSQs investigated in this study, eight contained a MEC-like component with a characteristic p63 basilar staining pattern similar to that of bronchial basal cells. These unique ADSQs shared clinical characteristics with ordinary ADSQs, but clinicopathologically differed from pulmonary ordinary MEC. Therefore, these unique ADSQs may be either a novel ADSQ subtype originating from bronchial epithelium or variant-type MEC. CI - Copyright (c) 2014 Elsevier Ireland Ltd. All rights reserved. FAU - Yamatani, Chihiro AU - Yamatani C AD - Division of Thoracic Surgery, Shizuoka Cancer Center, Japan. Electronic address: y.chi-hi-ro@med.nagoya-u.ac.jp. FAU - Abe, Masato AU - Abe M AD - Division of Diagnostic Pathology, Shizuoka Cancer Center, Japan. FAU - Shimoji, Masaki AU - Shimoji M AD - Division of Thoracic Surgery, Shizuoka Cancer Center, Japan. FAU - Maniwa, Tomohiro AU - Maniwa T AD - Division of Thoracic Surgery, Shizuoka Cancer Center, Japan. FAU - Takahashi, Shoji AU - Takahashi S AD - Division of Thoracic Surgery, Shizuoka Cancer Center, Japan. FAU - Isaka, Mitsuhiro AU - Isaka M AD - Division of Thoracic Surgery, Shizuoka Cancer Center, Japan. FAU - Ohde, Yasuhisa AU - Ohde Y AD - Division of Thoracic Surgery, Shizuoka Cancer Center, Japan. FAU - Watanabe, Reiko AU - Watanabe R AD - Division of Diagnostic Pathology, Shizuoka Cancer Center, Japan. FAU - Ito, Ichiro AU - Ito I AD - Division of Diagnostic Pathology, Shizuoka Cancer Center, Japan. FAU - Kondo, Haruhiko AU - Kondo H AD - Department of Surgery, Kyorin University School of Medicine, Japan. FAU - Nakajima, Takashi AU - Nakajima T AD - Division of Diagnostic Pathology, Shizuoka Cancer Center, Japan. LA - eng PT - Journal Article DEP - 20140123 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 RN - 0 (DNA-Binding Proteins) RN - 0 (MAML2 protein, human) RN - 0 (Nuclear Proteins) RN - 0 (TP63 protein, human) RN - 0 (Trans-Activators) RN - 0 (Transcription Factors) RN - 0 (Tumor Suppressor Proteins) SB - IM MH - Aged MH - Carcinoma, Adenosquamous/genetics/*metabolism/*pathology MH - Carcinoma, Mucoepidermoid/genetics/metabolism/*pathology MH - DNA-Binding Proteins/genetics/metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/genetics/*metabolism/*pathology MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Nuclear Proteins/genetics/metabolism MH - Risk Factors MH - Trans-Activators MH - Transcription Factors/genetics/*metabolism MH - Tumor Suppressor Proteins/genetics/*metabolism OTO - NOTNLM OT - Adenosquamous carcinoma OT - Bronchial basal cell OT - Lung cancer OT - Mammalian mastermind-like 2 OT - Mucoepidermoid carcinoma OT - p63 EDAT- 2014/02/12 06:00 MHDA- 2014/10/29 06:00 CRDT- 2014/02/12 06:00 PHST- 2013/10/25 00:00 [received] PHST- 2014/01/10 00:00 [revised] PHST- 2014/01/15 00:00 [accepted] PHST- 2014/02/12 06:00 [entrez] PHST- 2014/02/12 06:00 [pubmed] PHST- 2014/10/29 06:00 [medline] AID - S0169-5002(14)00045-2 [pii] AID - 10.1016/j.lungcan.2014.01.010 [doi] PST - ppublish SO - Lung Cancer. 2014 Apr;84(1):45-50. doi: 10.1016/j.lungcan.2014.01.010. Epub 2014 Jan 23.