PMID- 29516164 OWN - NLM STAT- MEDLINE DCOM- 20180724 LR - 20181114 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 473 IP - 1 DP - 2018 Jul TI - Cathepsin K expression in clear cell "sugar" tumor (PEComa) of the lung. PG - 55-59 LID - 10.1007/s00428-018-2325-1 [doi] AB - Clear cell "sugar" tumor is a rare benign neoplasm arising in the lung, considered as a part of the PEComa family. As PEComas of other sites, this tumor expresses melanocytic markers such as HMB45 and Melan-A. Despite cathepsin K, MITF and CD68 staining are known to be positive in a large number of PEComas and TFE3 rearrangement has been reported in a subset of PEComas, no data is available regarding the expression of these markers and the occurrence of TFE3 and TFEB rearrangement in clear cell "sugar" tumor of the lung. We have investigated the immunolabeling of cathepsin K, MITF, and CD68 in five cases of clear cell "sugar" tumor. Moreover, we have also sought the presence of TFE3 and TFEB rearrangement by fluorescence in situ hybridization (FISH) assay. In all tumors, strong immunoreactivity of cathepsin K and CD68 (PG-M1 and KP1 clone) was demonstrated, whereas none of them labeled for MITF staining and showed TFE3 or TFEB rearrangement. These findings widen the immunohistochemical profile of clear cell "sugar" tumor providing useful new markers for challenging cases. The expression of lysosomal markers, such as cathepsin K and CD68, strengthens the hypothesis that this tumor is part of the PEComa family. FAU - Calio, Anna AU - Calio A AD - Department of Diagnostic and Public Health, Section of Pathology, University of Verona, Largo L. Scuro 10, 37134, Verona, Italy. FAU - Mengoli, Maria Cecilia AU - Mengoli MC AD - Department of Pathology, Arcispedale S. Maria Nuova/I.R.C.C.S., Reggio Emilia, Italy. FAU - Cavazza, Alberto AU - Cavazza A AD - Department of Pathology, Arcispedale S. Maria Nuova/I.R.C.C.S., Reggio Emilia, Italy. FAU - Rossi, Giulio AU - Rossi G AD - Operative Unit of Pathologic Anatomy, Hospital S. Maria delle Croci, Azienda Romagna, Ravenna, Italy. FAU - Ghimenton, Claudio AU - Ghimenton C AD - Department of Diagnostic and Public Health, Section of Pathology, University of Verona, Largo L. Scuro 10, 37134, Verona, Italy. FAU - Brunelli, Matteo AU - Brunelli M AD - Department of Diagnostic and Public Health, Section of Pathology, University of Verona, Largo L. Scuro 10, 37134, Verona, Italy. FAU - Pea, Maurizio AU - Pea M AD - Department of Pathology, Orlandi Hospital, Bussolengo, Verona, Italy. FAU - Chilosi, Marco AU - Chilosi M AD - Department of Pathology, Pederzoli Hospital, Peschiera del Garda, Italy. FAU - Marcolini, Lisa AU - Marcolini L AD - Department of Pathology, Pederzoli Hospital, Peschiera del Garda, Italy. FAU - Martignoni, Guido AU - Martignoni G AD - Department of Diagnostic and Public Health, Section of Pathology, University of Verona, Largo L. Scuro 10, 37134, Verona, Italy. guido.martignoni@univr.it. AD - Department of Pathology, Pederzoli Hospital, Peschiera del Garda, Italy. guido.martignoni@univr.it. LA - eng PT - Journal Article DEP - 20180307 PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Antigens, CD) RN - 0 (Antigens, Differentiation, Myelomonocytic) RN - 0 (Biomarkers, Tumor) RN - 0 (CD68 antigen, human) RN - EC 3.4.22.38 (Cathepsin K) SB - IM MH - Adult MH - Antigens, CD/metabolism MH - Antigens, Differentiation, Myelomonocytic/metabolism MH - Biomarkers, Tumor/*metabolism MH - Cathepsin K/*metabolism MH - Female MH - Gene Rearrangement/genetics MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Kidney Neoplasms/metabolism/*pathology MH - Lung/metabolism/pathology MH - Male MH - Middle Aged MH - Perivascular Epithelioid Cell Neoplasms/diagnosis/genetics/*pathology MH - Translocation, Genetic/genetics OTO - NOTNLM OT - Cathepsin K OT - Clear cell "sugar" tumor OT - Immunohistochemistry OT - PEComa EDAT- 2018/03/09 06:00 MHDA- 2018/07/25 06:00 CRDT- 2018/03/09 06:00 PHST- 2018/01/11 00:00 [received] PHST- 2018/02/16 00:00 [accepted] PHST- 2018/02/15 00:00 [revised] PHST- 2018/03/09 06:00 [pubmed] PHST- 2018/07/25 06:00 [medline] PHST- 2018/03/09 06:00 [entrez] AID - 10.1007/s00428-018-2325-1 [pii] AID - 10.1007/s00428-018-2325-1 [doi] PST - ppublish SO - Virchows Arch. 2018 Jul;473(1):55-59. doi: 10.1007/s00428-018-2325-1. Epub 2018 Mar 7.