PMID- 27597287 OWN - NLM STAT- MEDLINE DCOM- 20171017 LR - 20190221 IS - 1872-8332 (Electronic) IS - 0169-5002 (Linking) VI - 100 DP - 2016 Oct TI - Immunohistochemical pattern analysis of squamous cell carcinoma: Lung primary and metastatic tumors of head and neck. PG - 96-101 LID - S0169-5002(16)30444-5 [pii] LID - 10.1016/j.lungcan.2016.08.003 [doi] AB - OBJECTIVES: This study aimed to develop an immunohistochemical (IHC) diagnostic algorithm for primary lung squamous cell carcinoma (LSCC) and pulmonary metastasis of head and neck SCC (HNSCC). MATERIALS AND METHODS: We selected three antibodies (CK19, MMP3, and PI3) from a web-based gene expression database and an IHC analysis available online. We developed an IHC diagnostic algorithm using tissue microarrays from 39 LSCCs and 48 HNSCCs as the training set. It was validated using whole tumor sections of 32 LSCCs and 23 HNSCCs. The algorithm was applied to 28 cases with a history of HNSCC and who underwent resection of pulmonary squamous cell tumors. RESULTS: The sensitivity, specificity, and accuracy of the algorithm were 90%, 62%, and 77%, respectively, in the training set and 96%, 44%, and 65%, respectively, in the validation set. Twenty-three of 28 SCCs were diagnosed as metastasis of HNSCC; the remaining five tumors were diagnosed as LSCC. Among the patients in the HNSCC group, 18 developed postoperative recurrence and 11 died of the disease, whereas only one patient in the LSCC group had recurrence. Compared with the LSCC group, the HNSCC group had poorer prognosis (P=0.07). IHC diagnosis coincided with the retrospective diagnosis in 22 (79%) of the 28 patients (sensitivity, 95%; specificity, 44%). CONCLUSION: The IHC diagnostic algorithm may be clinically useful for distinguishing between LSCC and pulmonary metastasis of HNSCC. CI - Copyright (c) 2016 Elsevier Ireland Ltd. All rights reserved. FAU - Ichinose, Junji AU - Ichinose J AD - Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan. Electronic address: jichinose-tky@umin.ac.jp. FAU - Shinozaki-Ushiku, Aya AU - Shinozaki-Ushiku A AD - Department of Pathology, University of Tokyo Hospital, Tokyo, Japan. FAU - Nagayama, Kazuhiro AU - Nagayama K AD - Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan. FAU - Nitadori, Jun-Ichi AU - Nitadori JI AD - Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan. FAU - Anraku, Masaki AU - Anraku M AD - Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan. FAU - Fukayama, Masashi AU - Fukayama M AD - Department of Pathology, University of Tokyo Hospital, Tokyo, Japan. FAU - Nakajima, Jun AU - Nakajima J AD - Department of Thoracic Surgery, University of Tokyo Hospital, Tokyo, Japan. FAU - Takai, Daiya AU - Takai D AD - Department of Clinical Laboratory, University of Tokyo Hospital, Tokyo, Japan. LA - eng PT - Journal Article DEP - 20160810 PL - Ireland TA - Lung Cancer JT - Lung cancer (Amsterdam, Netherlands) JID - 8800805 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Algorithms MH - Carcinoma, Squamous Cell/*metabolism/pathology/secondary/surgery MH - Diagnostic Techniques and Procedures MH - Female MH - Head and Neck Neoplasms/metabolism/pathology/*secondary MH - Humans MH - Immunohistochemistry/*methods MH - Lung Neoplasms/*metabolism/pathology MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/metabolism/pathology MH - Predictive Value of Tests MH - Retrospective Studies MH - Squamous Cell Carcinoma of Head and Neck OTO - NOTNLM OT - Diagnosis OT - Immunohistochemistry OT - Lung cancer OT - Pulmonary metastasis OT - Squamous cell carcinoma EDAT- 2016/09/07 06:00 MHDA- 2017/10/19 06:00 CRDT- 2016/09/07 06:00 PHST- 2016/06/22 00:00 [received] PHST- 2016/08/01 00:00 [revised] PHST- 2016/08/09 00:00 [accepted] PHST- 2016/09/07 06:00 [entrez] PHST- 2016/09/07 06:00 [pubmed] PHST- 2017/10/19 06:00 [medline] AID - S0169-5002(16)30444-5 [pii] AID - 10.1016/j.lungcan.2016.08.003 [doi] PST - ppublish SO - Lung Cancer. 2016 Oct;100:96-101. doi: 10.1016/j.lungcan.2016.08.003. Epub 2016 Aug 10.