PMID- 25780014 OWN - NLM STAT- MEDLINE DCOM- 20150603 LR - 20191210 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 143 IP - 4 DP - 2015 Apr TI - Clinicopathologic evaluation of MYC expression in primary mediastinal (thymic) large B-cell lymphoma. PG - 598-604 LID - 10.1309/AJCPKUG0UQO0HMDJ [doi] AB - OBJECTIVES: Based on previous molecular studies, a small fraction of primary mediastinal (thymic) large B-cell lymphoma (PMBL) demonstrates MYC alterations. However, no studies have evaluated MYC protein expression by immunohistochemistry (IHC) with follow-up fluorescence in situ hybridization (FISH) analysis. We aim to evaluate the clinicopathologic importance of MYC IHC expression in PMBL. METHODS: Three pathologists independently evaluated MYC IHC expression in 32 cases of PMBL for percent tumor positivity and nuclear intensity. FISH analysis for MYC rearrangement was performed on cases with high MYC IHC expression. Clinical data including treatment, follow-up, and outcome were also reviewed in a subset of cases. RESULTS: Variable MYC protein expression by IHC was detected in 30 (94%) of 32 cases of PMBL. One-third of the positive cases (10/30) showed high MYC IHC expression of at least 30% nuclear positivity. FISH analyses for MYC rearrangement on these 10 cases were negative. Review of clinical data on a subset of cases with high and low MYC IHC expression showed no differences in clinical outcome. CONCLUSIONS: MYC protein expression by IHC is present in most PMBLs. Increased MYC protein expression can be seen in one-third of the cases; however, it does not correlate with genetic abnormalities by FISH. There is also no significant impact of MYC protein expression on clinical outcomes. CI - Copyright(c) by the American Society for Clinical Pathology. FAU - Li, K David AU - Li KD AD - From the Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City; FAU - Miles, Rodney AU - Miles R AD - From the Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City; FAU - Tripp, Sheryl R AU - Tripp SR AD - ARUP Institute for Clinical and Experimental Pathology, Salt Lake City, UT; and. FAU - Glenn, Martha J AU - Glenn MJ AD - University of Utah School of Medicine, Salt Lake City. FAU - Perkins, Sherrie L AU - Perkins SL AD - From the Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City; FAU - Salama, Mohamed AU - Salama M AD - From the Department of Pathology, University of Utah and ARUP Laboratories, Salt Lake City; salama@path.utah.edu. LA - eng PT - Evaluation Study PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Biomarkers, Tumor) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Biomarkers, Tumor/*metabolism MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphoma, B-Cell/*metabolism/pathology MH - Male MH - Mediastinal Neoplasms/*metabolism/pathology MH - Middle Aged MH - Proto-Oncogene Proteins c-myc/*metabolism MH - Young Adult OTO - NOTNLM OT - Immunohistochemistry OT - MYC OT - Primary mediastinal large B-cell lymphoma EDAT- 2015/03/18 06:00 MHDA- 2015/06/04 06:00 CRDT- 2015/03/18 06:00 PHST- 2015/03/18 06:00 [entrez] PHST- 2015/03/18 06:00 [pubmed] PHST- 2015/06/04 06:00 [medline] AID - 143/4/598 [pii] AID - 10.1309/AJCPKUG0UQO0HMDJ [doi] PST - ppublish SO - Am J Clin Pathol. 2015 Apr;143(4):598-604. doi: 10.1309/AJCPKUG0UQO0HMDJ.