PMID- 24799969 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20140506 LR - 20211021 IS - 1934-7820 (Print) IS - 1934-7987 (Electronic) IS - 1934-7820 (Linking) VI - 7 IP - 2 DP - 2014 Mar TI - Absence of anaplastic lymphoma kinase translocations in signet ring cell carcinomas of the upper gastrointestinal tract. PG - 39-41 AB - BACKGROUND: Anaplastic lymphoma kinase (ALK) fusion oncogenes are present in multiple cancer types. The inversion of echinoderm microtubule-associated protein-like 4 (EML4) and anaplastic lymphoma kinase (ALK) genes on chromosome 2 is present in a subset of patients with non-small-cell lung cancer (NSCLC). ALK-rearranged lung cancers demonstrate a significantly higher incidence of signet ring cell histology than do ALK-negative tumors. Based on the histologic similarities of ALK-rearranged NSCLC and signet ring cell carcinomas (SRCCs) of the gastrointestinal tract, we hypothesized that SRCC of the upper gastrointestinal (GI) tract may also harbor ALK translocations. METHODS: Thirty-five formalin-fixed, paraffin-embedded (FFPE) diagnostic tissue specimens of SRCC or poorly differentiated adenocarcinoma with greater than 10% signet ring cell features originating from the upper GI tract were obtained and confirmed by a board-certified, GI pathologist. SRCC specimens were analyzed by fluorescence in situ hybridization (FISH) analysis, with an ALK (2p23) break-apart probe. RESULTS: The FISH analysis revealed no evidence of ALK translocation. All 35 (100%) SRCC specimens showed intact ALK FISH signals. CONCLUSIONS: These data indicate that, despite histologic similarities between SRCC of the upper GI tract and ALK-positive NSCLC, ALK translocations are unlikely to be a significant contributor to the molecular etiology of SRCC. Further genomic investigations are ongoing. FAU - Miller, Jill AU - Miller J AD - Department of Pathology. FAU - Peng, Zhihua AU - Peng Z AD - Department of Pathology. FAU - Wilcox, Rebecca AU - Wilcox R AD - Department of Pathology. FAU - Evans, Mark AU - Evans M AD - Department of Pathology. FAU - Ades, Steven AU - Ades S AD - Division of Hematology Oncology The University of Vermont Cancer Center Burlington, VT. FAU - Verschraegen, Claire AU - Verschraegen C AD - Division of Hematology Oncology The University of Vermont Cancer Center Burlington, VT. LA - eng GR - T32 ES007122/ES/NIEHS NIH HHS/United States PT - Journal Article PL - United States TA - Gastrointest Cancer Res JT - Gastrointestinal cancer research : GCR JID - 101300691 PMC - PMC4007674 EDAT- 2014/05/07 06:00 MHDA- 2014/05/07 06:01 PMCR- 2014/03/01 CRDT- 2014/05/07 06:00 PHST- 2013/06/03 00:00 [received] PHST- 2013/11/13 00:00 [accepted] PHST- 2014/05/07 06:00 [entrez] PHST- 2014/05/07 06:00 [pubmed] PHST- 2014/05/07 06:01 [medline] PHST- 2014/03/01 00:00 [pmc-release] AID - 0194 [pii] PST - ppublish SO - Gastrointest Cancer Res. 2014 Mar;7(2):39-41.