PMID- 25359601 OWN - NLM STAT- MEDLINE DCOM- 20150410 LR - 20181113 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 466 IP - 1 DP - 2015 Jan TI - Hyalinizing clear cell carcinoma with EWSR1-ATF1 fusion gene: report of three cases with molecular analyses. PG - 37-43 LID - 10.1007/s00428-014-1676-5 [doi] AB - Hyalinizing clear cell carcinoma (HCCC) is a low-grade salivary gland carcinoma characterized by clear cells and hyalinized stroma. Recently, the EWSR1-ATF1 fusion gene was found in HCCCs. We herein describe three cases of HCCC identified in one male and two females, ranging in age from 27 to 67 years. The tumors were located in the root of tongue, nasopharynx, and soft palate. They were composed of nested or cord-like proliferations of epithelial cells with clear to pale eosinophilic cytoplasm, embedded in hyalinized and focally fibroedematous stroma. Tumor-associated lymphoid proliferation and pseudoepitheliomatous hyperplasia were also observed in each one case. MAML2 fusions specific to mucoepidermoid carcinoma were not detected in any of the three cases. We found EWSR1-ATF1 in two of three HCCCs using reverse transcription polymerase chain reaction (RT-PCR) with our original primer sets designed to detect the fusion gene transcripts in formalin-fixed paraffin-embedded (FFPE) tissues. EWSR1 rearrangement was also confirmed by fluorescence in situ hybridization (FISH) on FFPE sections in two cases. There was a good concordance between the two methods (two positive cases and one negative case by both RT-PCR and FISH). Therefore, RT-PCR and FISH using FFPE tissue may be ancillary tools to confirm the diagnosis of HCCC. FAU - Nakano, Takafumi AU - Nakano T AD - Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan. FAU - Yamamoto, Hidetaka AU - Yamamoto H FAU - Nishijima, Toshimitsu AU - Nishijima T FAU - Tamiya, Sadafumi AU - Tamiya S FAU - Shiratsuchi, Hideki AU - Shiratsuchi H FAU - Nakashima, Torahiko AU - Nakashima T FAU - Komune, Shizuo AU - Komune S FAU - Oda, Yoshinao AU - Oda Y LA - eng PT - Case Reports PT - Journal Article DEP - 20141031 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (ATF1 protein, human) RN - 0 (Activating Transcription Factor 1) RN - 0 (Calmodulin-Binding Proteins) RN - 0 (EWSR1 protein, human) RN - 0 (RNA-Binding Protein EWS) RN - 0 (RNA-Binding Proteins) SB - IM MH - Activating Transcription Factor 1/*genetics MH - Adenocarcinoma, Clear Cell/diagnosis/*genetics/metabolism MH - Adult MH - Aged MH - Calmodulin-Binding Proteins/*genetics MH - Female MH - Gene Fusion/*genetics MH - Gene Rearrangement/genetics MH - Humans MH - Hyalin/*metabolism MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Nasopharynx MH - Palate, Soft MH - Polymerase Chain Reaction MH - RNA-Binding Protein EWS MH - RNA-Binding Proteins/*genetics MH - Salivary Gland Neoplasms/diagnosis/*genetics/metabolism MH - Tongue EDAT- 2014/11/02 06:00 MHDA- 2015/04/11 06:00 CRDT- 2014/11/01 06:00 PHST- 2014/06/19 00:00 [received] PHST- 2014/10/20 00:00 [accepted] PHST- 2014/10/02 00:00 [revised] PHST- 2014/11/01 06:00 [entrez] PHST- 2014/11/02 06:00 [pubmed] PHST- 2015/04/11 06:00 [medline] AID - 10.1007/s00428-014-1676-5 [doi] PST - ppublish SO - Virchows Arch. 2015 Jan;466(1):37-43. doi: 10.1007/s00428-014-1676-5. Epub 2014 Oct 31.