PMID- 25972325 OWN - NLM STAT- MEDLINE DCOM- 20150728 LR - 20190221 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 143 IP - 6 DP - 2015 Jun TI - p16/CDKN2A FISH in Differentiation of Diffuse Malignant Peritoneal Mesothelioma From Mesothelial Hyperplasia and Epithelial Ovarian Cancer. PG - 830-8 LID - 10.1309/AJCPOATJ9L4GCGDA [doi] AB - OBJECTIVES: It can be difficult to differentiate diffuse malignant peritoneal mesothelioma (DMPM) from reactive mesothelial hyperplasia (RMH) or peritoneal dissemination of gynecologic malignancies, such as epithelial ovarian cancer (EOC), which cause a large amount of ascites. Detection of the homozygous deletion of p16/CDKN2A (p16) by fluorescence in situ hybridization (FISH) is an effective adjunct in the diagnosis of malignant pleural mesothelioma. The aim of this study was to investigate the ability of the p16 FISH assay to differentiate DMPM from RMH and EOC. METHODS: p16 FISH was performed in 28 DMPMs (successful in 19), 30 RMHs, and 40 EOC cases. The cutoff values of p16 FISH were more than 10% for homozygous deletion and more than 40% for heterozygous deletion. RESULTS: According to the above criteria, nine (47.4%) of 19 successful DMPM cases were homozygous deletion positive, and three (15.8%) of 19 were heterozygous deletion positive, whereas all RMH cases were negative for the p16 deletion. In all four major histologic subtypes of EOC, neither p16 homozygous nor heterozygous deletions were detected. To differentiate DMPM from RMH or EOC, the sensitivity of the p16 homozygous deletion was 32% (9/28), and the specificity was 100%. CONCLUSIONS: Our study suggests that p16 FISH analysis is useful in differentiating DMPM from RMH and EOC when homozygous deletion is detected. CI - Copyright(c) by the American Society for Clinical Pathology. FAU - Ito, Tomohiro AU - Ito T AD - From the Department of Pathology and Department of Obstetrics and Gynecology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan; FAU - Hamasaki, Makoto AU - Hamasaki M AD - From the Department of Pathology and. FAU - Matsumoto, Shinji AU - Matsumoto S AD - From the Department of Pathology and. FAU - Hiroshima, Kenzo AU - Hiroshima K AD - Department of Pathology, Tokyo Women's Medical University Yachiyo Medical Center, Yachiyo, Japan; FAU - Tsujimura, Tohru AU - Tsujimura T AD - Department of Pathology, Hyogo College of Medicine, Hyogo, Japan; FAU - Kawai, Toshiaki AU - Kawai T AD - Department of Pathology and Laboratory Medicine, National Defense Medical College, Tokorozawa, Japan; FAU - Shimao, Yoshiya AU - Shimao Y AD - Department of Pathology, Miyazaki Prefectural Miyazaki Hospital, Miyazaki, Japan; FAU - Marutsuka, Kousuke AU - Marutsuka K AD - Department of Pathology, Miyazaki University School of Medicine, Miyazaki, Japan; and. FAU - Moriguchi, Sayaka AU - Moriguchi S AD - Department of Pathology, Miyazaki University School of Medicine, Miyazaki, Japan; and. FAU - Maruyama, Riruke AU - Maruyama R AD - Laboratory of Surgical Pathology, Shimane University School of Medicine, Izumo, Japan. FAU - Miyamoto, Shingo AU - Miyamoto S AD - Department of Obstetrics and Gynecology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan; FAU - Nabeshima, Kazuki AU - Nabeshima K AD - From the Department of Pathology and kaznabes@fukuoka-u.ac.jp. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Biomarkers, Tumor) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) SB - IM MH - Adult MH - Aged MH - Biomarkers, Tumor/genetics MH - Carcinoma, Ovarian Epithelial MH - Cyclin-Dependent Kinase Inhibitor p16/genetics MH - *Diagnosis, Differential MH - Female MH - *Genes, p16 MH - Humans MH - Hyperplasia/diagnosis/genetics MH - In Situ Hybridization, Fluorescence MH - Male MH - Mesothelioma/*diagnosis/genetics MH - Middle Aged MH - Neoplasms, Glandular and Epithelial/*diagnosis/genetics MH - Ovarian Neoplasms/*diagnosis/genetics MH - Peritoneal Neoplasms/*diagnosis/genetics MH - Precancerous Conditions/diagnosis/genetics MH - Sensitivity and Specificity OTO - NOTNLM OT - 9p21 OT - Diffuse malignant peritoneal mesothelioma OT - Epithelial ovarian cancer OT - Fluorescence in situ hybridization OT - Reactive mesothelial hyperplasia OT - p16 EDAT- 2015/05/15 06:00 MHDA- 2015/07/29 06:00 CRDT- 2015/05/15 06:00 PHST- 2015/05/15 06:00 [entrez] PHST- 2015/05/15 06:00 [pubmed] PHST- 2015/07/29 06:00 [medline] AID - 143/6/830 [pii] AID - 10.1309/AJCPOATJ9L4GCGDA [doi] PST - ppublish SO - Am J Clin Pathol. 2015 Jun;143(6):830-8. doi: 10.1309/AJCPOATJ9L4GCGDA.