PMID- 25976476 OWN - NLM STAT- MEDLINE DCOM- 20151103 LR - 20181113 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 467 IP - 2 DP - 2015 Aug TI - Papillary-cystic pattern is characteristic in mammary analogue secretory carcinomas but is rarely observed in acinic cell carcinomas of the salivary gland. PG - 145-53 LID - 10.1007/s00428-015-1786-8 [doi] AB - Mammary analogue secretory carcinoma (MASC) has a specific ETV6-NTRK3 translocation and morphologically overlaps with acinic cell carcinoma (AciCC). Before the recognition of MASC, in AciCC, four histologic patterns were identified including microcystic, solid, papillary-cystic, and follicular. The aim of this study was to evaluate histologic patterns in these two neoplasms through comprehensive histologic subtyping. Using fluorescence in situ hybridization (FISH), we identified 14 cases of MASC and 21 cases of AciCC. We used comprehensive histologic subtyping to provide a semiquantitive assessment of histologic patterns in each tumor and performed immunohistochemical analyses including S100/vimentin/mammaglobin/DOG1. MASC often presented papillary-cystic patterns without a solid component, previously considered to be one of the four major patterns associated with AciCC. However, in our study, this histologic feature was rarely seen in AciCC and more characteristic of MASC. In aspiration cytology samples, MASC was associated with more cellular atypia. An immunohistochemical panel of S100/mammaglobin/DOG1 was found useful for differential diagnosis. Comprehensive subtyping of histologic patterns is a useful screening method prior to initiation of molecular testing. FAU - Hsieh, Min-Shu AU - Hsieh MS AD - Department of Pathology, National Taiwan University Hospital and National Taiwan University College of Medicine, No 7, Chung-Shan South Road, 100, Taipei, Taiwan. FAU - Chou, Yueh-Hung AU - Chou YH FAU - Yeh, Shin-Joe AU - Yeh SJ FAU - Chang, Yih-Leong AU - Chang YL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150515 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Biomarkers, Tumor) RN - 0 (ETV6-NTRK3 fusion protein, human) RN - 0 (Oncogene Proteins, Fusion) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis MH - Carcinoma, Acinar Cell/genetics/metabolism/*pathology MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/genetics MH - Polymerase Chain Reaction MH - Salivary Gland Neoplasms/genetics/metabolism/*pathology MH - Young Adult EDAT- 2015/05/16 06:00 MHDA- 2015/11/04 06:00 CRDT- 2015/05/16 06:00 PHST- 2014/12/05 00:00 [received] PHST- 2015/05/06 00:00 [accepted] PHST- 2015/02/25 00:00 [revised] PHST- 2015/05/16 06:00 [entrez] PHST- 2015/05/16 06:00 [pubmed] PHST- 2015/11/04 06:00 [medline] AID - 10.1007/s00428-015-1786-8 [doi] PST - ppublish SO - Virchows Arch. 2015 Aug;467(2):145-53. doi: 10.1007/s00428-015-1786-8. Epub 2015 May 15.