PMID- 25503077 OWN - NLM STAT- MEDLINE DCOM- 20150721 LR - 20231213 IS - 1432-2307 (Electronic) IS - 0945-6317 (Print) IS - 0945-6317 (Linking) VI - 466 IP - 3 DP - 2015 Mar TI - Mammary analogue secretory carcinoma of salivary glands: a new entity associated with ETV6 gene rearrangement. PG - 245-54 LID - 10.1007/s00428-014-1701-8 [doi] AB - Mammary analogue secretory carcinoma (MASC) is a recently described salivary gland tumour that harbours the recurrent ETV6-NTRK3 translocation. This is the first series of MASC cases identified in the historic cohort of carcinomas of salivary glands with clinical/pathological correlation and follow-up data. We reviewed 183 primary carcinomas of major and minor salivary glands resected at the Medical University of Gdansk, Poland, between 1992 and 2012. Based on morphology and immunohistochemistry, cases suspicious for MASC were selected, and the diagnosis was confirmed by fluorescence in situ hybridization (FISH) for ETV6 rearrangement and by RT-PCR for the ETV6-NTRK3 fusion transcript. Seven carcinomas met the criteria of MASC, as they exhibited a typical appearance with solid/microcystic and papillary architecture and intraluminal secretions, and cells completely devoid of basophilic cytoplasmic zymogen granules indicative of true acinar differentiation. The only paediatric case was an unencapsulated tumour composed of macrocystic structures covered by a mostly single but, focally, double layer of cells with apocrine morphology. In all cases, the neoplastic cells revealed immunoreactivity for S100, mammaglobin, cytokeratin CK7, CK8, STAT5a and vimentin. FISH for ETV6 gene rearrangement was positive in six out of seven cases, and RT-PCR was positive in three cases. MASC is a new entity of malignant epithelial salivary gland tumours not included in the 2005 WHO Classification of Head and Neck Tumours. There is a growing body of evidence that it is not as rare as was assumed, as is also indicated by our series (3.8 %). In most cases, MASC shares some microscopic features with AciCC, adenocarcinoma/cystadenocarcinoma NOS and low-grade MEC. In rare cases, MASC with high-grade transformation may mimic the morphological appearances of high-grade salivary gland malignancies, such as salivary duct carcinoma. FAU - Majewska, Hanna AU - Majewska H AD - Department of Pathomorphology, Medical University of Gdansk, Gdansk, Poland, hania.majewska@gumed.edu.pl. FAU - Skalova, Alena AU - Skalova A FAU - Stodulski, Dominik AU - Stodulski D FAU - Klimkova, Adela AU - Klimkova A FAU - Steiner, Petr AU - Steiner P FAU - Stankiewicz, Czeslaw AU - Stankiewicz C FAU - Biernat, Wojciech AU - Biernat W LA - eng PT - Journal Article DEP - 20141212 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Biomarkers, Tumor) RN - 0 (Proto-Oncogene Proteins c-ets) RN - 0 (Repressor Proteins) RN - 0 (S100 Proteins) RN - 0 (STAT5 Transcription Factor) RN - 0 (STAT5A protein, human) RN - 0 (Tumor Suppressor Proteins) RN - 0 (Vimentin) RN - 68238-35-7 (Keratins) RN - EC 2.7.10.1 (Receptor, trkC) RN - Secretory breast carcinoma SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers, Tumor/metabolism MH - Breast Neoplasms/*classification/*genetics/metabolism MH - Carcinoma/*classification/*genetics/metabolism MH - Female MH - Follow-Up Studies MH - Gene Fusion/genetics MH - Gene Rearrangement/*genetics MH - Humans MH - Keratins/metabolism MH - Male MH - Middle Aged MH - Proto-Oncogene Proteins c-ets/*genetics/metabolism MH - Receptor, trkC/genetics MH - Repressor Proteins/*genetics/metabolism MH - Retrospective Studies MH - S100 Proteins/metabolism MH - STAT5 Transcription Factor/metabolism MH - Salivary Gland Neoplasms/*classification/*genetics/metabolism MH - Translocation, Genetic/genetics MH - Tumor Suppressor Proteins/metabolism MH - Vimentin/metabolism MH - Young Adult MH - ETS Translocation Variant 6 Protein PMC - PMC4353861 EDAT- 2014/12/17 06:00 MHDA- 2015/07/22 06:00 PMCR- 2014/12/12 CRDT- 2014/12/16 06:00 PHST- 2014/07/23 00:00 [received] PHST- 2014/11/28 00:00 [accepted] PHST- 2014/11/04 00:00 [revised] PHST- 2014/12/16 06:00 [entrez] PHST- 2014/12/17 06:00 [pubmed] PHST- 2015/07/22 06:00 [medline] PHST- 2014/12/12 00:00 [pmc-release] AID - 1701 [pii] AID - 10.1007/s00428-014-1701-8 [doi] PST - ppublish SO - Virchows Arch. 2015 Mar;466(3):245-54. doi: 10.1007/s00428-014-1701-8. Epub 2014 Dec 12.