PMID- 27271776 OWN - NLM STAT- MEDLINE DCOM- 20170927 LR - 20190221 IS - 1538-7151 (Electronic) IS - 0277-1691 (Linking) VI - 35 IP - 4 DP - 2016 Jul TI - Aberrant Expression of Anaplastic Lymphoma Kinase in Ovarian Carcinoma Independent of Gene Rearrangement. PG - 337-47 LID - 10.1097/PGP.0000000000000260 [doi] AB - Ovarian carcinoma is the leading cause of death from gynecologic malignancies. The oncogenic role of anaplastic lymphoma kinase (ALK) is well characterized in many hematopoietic and solid tumors. ALK expression in ovarian carcinoma has been reported but the exact status of ALK protein and its association with clinicopathologic features requires further investigation. ALK expression was determined by immunohistochemistry in 110 primary ovarian carcinomas, including 85 cases of serous carcinoma and 25 cases of mucinous carcinoma. Fluorescence in situ hybridization (FISH) and real-time reverse transcription polymerase chain reaction (RT-PCR) were used for evaluating ALK translocation in ALK-positive ovarian carcinomas. Among 110 ovarian carcinomas, 23 (20.9%) cases were ALK positive by immunohistochemistry. All ALK-positive cases were ovarian high-grade serous carcinoma. ALK expression was detected in 23/85 (27.1%) ovarian serous carcinoma and 0/25 (0%) in ovarian mucinous carcinoma. None of the 23 ALK IHC-positive cases harbored ALK gene translocations by FISH or RT-PCR. ALK protein expression was associated with patient age, tumor stage, and histologic type. Specifically, the probability of ALK protein expression was significantly higher in high-grade serous carcinomas in older patients (above 50 y) with advanced disease (FIGO stage III and IV) compared with the low-grade serous and mucinous carcinomas in younger patients with relatively early disease. In conclusion, aberrant ALK expression is observed in ovarian serous carcinoma but not in mucinous carcinoma, is independent of gene translocation, and might be associated with progression and prognosis. FAU - Tang, Shaoxian AU - Tang S AD - Department of Pathology (S.T., F.Y., X.D., Y.L., L.Z., X.Z.), Shanghai Cancer Center Department of Oncology (X.D., X.Z.), Shanghai Medical School, Fudan University, Shanghai, China. FAU - Yang, Fei AU - Yang F FAU - Du, Xiang AU - Du X FAU - Lu, Yongming AU - Lu Y FAU - Zhang, Ling AU - Zhang L FAU - Zhou, Xiaoyan AU - Zhou X LA - eng PT - Journal Article PL - United States TA - Int J Gynecol Pathol JT - International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists JID - 8214845 RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adenocarcinoma, Mucinous/diagnosis/*enzymology/genetics/pathology MH - Adult MH - Aged MH - Anaplastic Lymphoma Kinase MH - Carcinoma, Ovarian Epithelial MH - Cystadenocarcinoma, Serous/diagnosis/*enzymology/genetics/pathology MH - Female MH - Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Middle Aged MH - Neoplasms, Glandular and Epithelial/diagnosis/*enzymology/genetics/pathology MH - Ovarian Neoplasms/diagnosis/*enzymology/genetics/pathology MH - Receptor Protein-Tyrosine Kinases/genetics/*metabolism MH - Translocation, Genetic EDAT- 2016/06/09 06:00 MHDA- 2017/09/28 06:00 CRDT- 2016/06/09 06:00 PHST- 2016/06/09 06:00 [entrez] PHST- 2016/06/09 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] AID - 00004347-201607000-00008 [pii] AID - 10.1097/PGP.0000000000000260 [doi] PST - ppublish SO - Int J Gynecol Pathol. 2016 Jul;35(4):337-47. doi: 10.1097/PGP.0000000000000260.