PMID- 30741488 OWN - NLM STAT- MEDLINE DCOM- 20190829 LR - 20190829 IS - 1097-0339 (Electronic) IS - 1097-0339 (Linking) VI - 47 IP - 6 DP - 2019 Jun TI - Genotyping and cytomorphological subtyping of lung adenocarcinoma based on liquid-based cytology. PG - 564-570 LID - 10.1002/dc.24154 [doi] AB - BACKGROUND: Liquid-based cytology (LBC) samples allow immunohistochemistry (IHC), fluorescence in situ hybridization (FISH), and molecular testing of nucleic acids to be performed in the remaining fixed cells. The current study aimed to examine the relationship between gene mutational status and cytomorphological features in primary lung adenocarcinoma (ADC) using LBC materials. METHODS: Forty consecutive patients with primary lung ADC underwent surgical resection in our hospital. Cytological material was obtained by scraping the cut-surface of the lesion, and samples were fixed and stored as LBC materials using CytoRich Red. Epidermal growth factor receptor (EGFR) and Kirsten rat sarcoma viral oncogene homolog (KRAS) mutations, anaplastic lymphoma kinase (ALK), and c-ros oncogene 1 (ROS1) gene rearrangements were detected, and cytomorphological studies were performed. RESULTS: Twenty cases (50%) were positive for EGFR mutation and four (10%) were positive for KRAS mutation. ALK gene rearrangement was identified in one case (2.5%) by IHC and FISH, and ROS1 gene rearrangement was identified in one case (2.5%) by IHC and real-time polymerase chain reaction. The KRAS-positive group included higher proportions of cases with an inflammatory background (100%), predominantly papillary architecture (75%), and papillary-type ADC pattern (75%) compared with the EGFR-positive group and the other group, which included ALK and ROS1 gene rearrangements. CONCLUSIONS: LBC material is suitable for use in molecular testing. Differences in major gene aberrations detected by this method might predict specific cytomorphological features. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Tanaka, Ryota AU - Tanaka R AUID- ORCID: 0000-0002-0615-0072 AD - Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan. FAU - Sakamoto, Norihiko AU - Sakamoto N AD - Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Suzuki, Hitomi AU - Suzuki H AD - Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Tachibana, Keisei AU - Tachibana K AD - Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan. FAU - Ohtsuka, Kouki AU - Ohtsuka K AD - Department of Clinical Laboratory, Kyorin University School of Medicine, Tokyo, Japan. FAU - Kishimoto, Koji AU - Kishimoto K AD - Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Fujiwara, Masachika AU - Fujiwara M AD - Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Kamma, Hiroshi AU - Kamma H AD - Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Shibahara, Junji AU - Shibahara J AD - Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan. FAU - Kondo, Haruhiko AU - Kondo H AD - Department of Surgery, Kyorin University School of Medicine, Tokyo, Japan. LA - eng GR - JP16K10690/JSPS KAKENHI/ PT - Journal Article DEP - 20190211 PL - United States TA - Diagn Cytopathol JT - Diagnostic cytopathology JID - 8506895 RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) SB - IM CIN - Diagn Cytopathol. 2019 Oct;47(10):1119. PMID: 31407524 MH - Adenocarcinoma of Lung/*diagnosis/*genetics/pathology MH - Aged MH - Anaplastic Lymphoma Kinase/genetics MH - Female MH - Gene Rearrangement MH - Genotyping Techniques/*methods MH - Humans MH - Liquid Biopsy MH - Lung/*pathology MH - Male MH - Mutation/genetics MH - Protein-Tyrosine Kinases/genetics MH - Proto-Oncogene Proteins/genetics OTO - NOTNLM OT - Kirsten rat sarcoma viral oncogene homolog (KRAS) OT - cytomorphological subtypes OT - epidermal growth factor receptor (EGFR) OT - liquid-based cytology OT - lung adenocarcinoma EDAT- 2019/02/12 06:00 MHDA- 2019/08/30 06:00 CRDT- 2019/02/12 06:00 PHST- 2018/09/21 00:00 [received] PHST- 2019/01/04 00:00 [revised] PHST- 2019/01/22 00:00 [accepted] PHST- 2019/02/12 06:00 [pubmed] PHST- 2019/08/30 06:00 [medline] PHST- 2019/02/12 06:00 [entrez] AID - 10.1002/dc.24154 [doi] PST - ppublish SO - Diagn Cytopathol. 2019 Jun;47(6):564-570. doi: 10.1002/dc.24154. Epub 2019 Feb 11.