PMID- 30448222 OWN - NLM STAT- MEDLINE DCOM- 20191125 LR - 20191125 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 85 DP - 2019 Mar TI - Immunohistochemical pattern of c-MYC protein judged as "+/(weak)+/-" by a new notation correlates with MYC gene nontranslocation in large B-cell lymphoma. PG - 112-118 LID - S0046-8177(18)30422-2 [pii] LID - 10.1016/j.humpath.2018.10.025 [doi] AB - Immunohistochemistry is not only the most important tool for pathologists to establish a final diagnosis, but it can also inform decisions regarding optimal treatment methods. However, there is no universal standard notation for expressing immunohistochemical findings. For a diagnosis of malignant lymphoma, it is important to confirm the presence or absence of MYC translocation and communicate these results to a clinical audience. However, the criteria for selecting cases for fluorescence in situ hybridization (FISH) analysis to confirm MYC translocation are ill defined. We therefore devised a notation that we termed proportion of immunoreactivity/expression for immunohistochemistry (PRIME notation) based on the cellular proportion showing different antigen-antibody reactivity in immunohistochemistry (CPAR) and used it to examine the relationship between MYC translocation and the proportion of c-MYC+ lymphoma cells. We reviewed 82 cases diagnosed as diffuse large B-cell lymphoma or diffuse large B-cell lymphoma coexisting with grade 3A to 3B follicular lymphoma. The most common notation was "+/(weak)+/-" (49/82 cases [59.8%]); cases that were CPAR positive, weakly positive, and negative for tumor cells each accounted for about one-third of the total. Unexpectedly, no MYC translocation was observed by FISH in this group. Thus, FISH is not needed even if more than half of cells are c-MYC positive by PRIME notation. This is the first report describing a correspondence between immunohistochemical findings and chromosomal abnormality, reflecting findings at the protein and gene levels, respectively. CI - Copyright (c) 2018 Elsevier Inc. All rights reserved. FAU - Fujishima, Fumiyoshi AU - Fujishima F AD - Department of Anatomic Pathology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai 980-8574, Japan. Electronic address: ffujishima@patholo2.med.tohoku.ac.jp. FAU - Katsushima, Hiroki AU - Katsushima H AD - Division of Hematopathology, Tohoku University Hospital, Aoba-ku, Sendai 980-8574, Japan. FAU - Fukuhara, Noriko AU - Fukuhara N AD - Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai 980-8574, Japan. FAU - Konosu-Fukaya, Sachiko AU - Konosu-Fukaya S AD - Division of Pathology, Tohoku Medical and Pharmaceutical University, Miyagino-ku, Sendai 983-8536, Japan. FAU - Nakamura, Yasuhiro AU - Nakamura Y AD - Division of Pathology, Tohoku Medical and Pharmaceutical University, Miyagino-ku, Sendai 983-8536, Japan. FAU - Usubuchi, Hajime AU - Usubuchi H AD - Department of Pathology, Tohoku University Hospital, Aoba-ku, Sendai 980-8574, Japan. FAU - Sato, Satoko AU - Sato S AD - Department of Pathology, Tohoku University Hospital, Aoba-ku, Sendai 980-8574, Japan. FAU - Ota, Yasunori AU - Ota Y AD - Depaertment of Pathology, The Institute of Medical Science, The University of Tokyo, Minato-ku, Tokyo 108-8639, Japan. FAU - Yashima-Abo, Akiko AU - Yashima-Abo A AD - Department of Pathology, School of Medicine, Iwate Medical University, Morioka, Iwate 020-0023, Japan. FAU - Nakamura, Tomohiro AU - Nakamura T AD - Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai 980-8574, Japan. FAU - Nakaya, Naoki AU - Nakaya N AD - Department of Preventive Medicine and Epidemiology, Tohoku Medical Megabank Organization, Tohoku University, Aoba-ku, Sendai 980-8574, Japan. FAU - Harigae, Hideo AU - Harigae H AD - Department of Hematology and Rheumatology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai 980-8574, Japan. FAU - Sasano, Hironobu AU - Sasano H AD - Department of Anatomic Pathology, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai 980-8574, Japan; Department of Pathology, Tohoku University Hospital, Aoba-ku, Sendai 980-8574, Japan. FAU - Ichinohasama, Ryo AU - Ichinohasama R AD - Division of Hematopathology, Tohoku University Hospital, Aoba-ku, Sendai 980-8574, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20181115 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Biomarkers, Tumor) RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Biomarkers, Tumor/metabolism MH - *Gene Rearrangement MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lymphoma, Follicular/genetics/*metabolism/pathology MH - Lymphoma, Large B-Cell, Diffuse/genetics/*metabolism/pathology MH - Proto-Oncogene Proteins c-myc/genetics/*metabolism OTO - NOTNLM OT - CPAR OT - FISH OT - Immunohistochemistry OT - MYC OT - PRIME notation EDAT- 2018/11/19 06:00 MHDA- 2019/11/26 06:00 CRDT- 2018/11/19 06:00 PHST- 2018/07/14 00:00 [received] PHST- 2018/10/30 00:00 [revised] PHST- 2018/10/31 00:00 [accepted] PHST- 2018/11/19 06:00 [pubmed] PHST- 2019/11/26 06:00 [medline] PHST- 2018/11/19 06:00 [entrez] AID - S0046-8177(18)30422-2 [pii] AID - 10.1016/j.humpath.2018.10.025 [doi] PST - ppublish SO - Hum Pathol. 2019 Mar;85:112-118. doi: 10.1016/j.humpath.2018.10.025. Epub 2018 Nov 15.