PMID- 31085007 OWN - NLM STAT- MEDLINE DCOM- 20200114 LR - 20200114 IS - 1618-0631 (Electronic) IS - 0344-0338 (Linking) VI - 215 IP - 7 DP - 2019 Jul TI - Histopathologic characteristics of advanced-stage ROS1-rearranged non-small cell lung cancers. PG - 152441 LID - S0344-0338(19)30329-2 [pii] LID - 10.1016/j.prp.2019.152441 [doi] AB - BACKGROUND: ROS1 rearrangement accounts for 1%-2% of non-small cell lung cancer (NSCLC) with a remarkable response to crizotinib. Although ROS1-rearranged tumors are known to have characteristic histologic features, only a few studies have investigated the histologic features of advanced-stage ROS1-rearranged tumors. METHODS: We analyzed the histopathologic features of ROS1-rearranged tumors in advanced-stage NSCLC patients and assessed the ROS1 immunohistochemistry (IHC) staining patterns of ROS1-rearranged cases. RESULTS: A total of 37 ROS1 fluorescence in situ hybridization (FISH)-positive cases and 64 ROS1 FISH-negative cases were analyzed, and all tumors were EGFR-, ALK-, and RET-negative. Solid pattern, round nuclei with macronucleoli, solid signet-ring cells, extracellular mucin, and a close relation with adjacent bronchioles were significantly associated with ROS1 rearrangement, and the solid signet-ring cell feature was exclusively identified in ROS1-rearranged tumors. ROS1 IHC showed a 97.3% sensitivity when weak to strong protein expression was considered positive. CONCLUSIONS: Our findings highlight distinct histologic features of ROS1-rearranged tumors, including their nuclear features. A thorough understanding of ROS1 rearrangement-related histologic features would be helpful to identify ROS1-rearranged tumors in advanced-stage NSCLC. CI - Copyright (c) 2019 Elsevier GmbH. All rights reserved. FAU - Park, Eunhyang AU - Park E AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; Department of Pathology, Yonsei University College of Medicine, Seoul, Republic of Korea. FAU - Choi, Yoon-La AU - Choi YL AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Ahn, Myung-Ju AU - Ahn MJ AD - Division of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. FAU - Han, Joungho AU - Han J AD - Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. Electronic address: hanjho@skku.edu. LA - eng PT - Journal Article DEP - 20190506 PL - Germany TA - Pathol Res Pract JT - Pathology, research and practice JID - 7806109 RN - 0 (Proto-Oncogene Proteins) RN - EC 2.7.10.1 (Protein-Tyrosine Kinases) RN - EC 2.7.10.1 (ROS1 protein, human) SB - IM MH - Adenocarcinoma of Lung/genetics/metabolism/*pathology MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Non-Small-Cell Lung/genetics/metabolism/*pathology MH - Cell Nucleus/metabolism/pathology MH - Female MH - *Gene Rearrangement MH - Humans MH - Lung/metabolism/*pathology MH - Lung Neoplasms/genetics/metabolism/*pathology MH - Male MH - Middle Aged MH - Protein-Tyrosine Kinases/genetics/*metabolism MH - Proto-Oncogene Proteins/genetics/*metabolism OTO - NOTNLM OT - FISH OT - Histology OT - Immunohistochemistry OT - Lung adenocarcinoma OT - Non-small cell lung cancer (NSCLC) OT - ROS1 EDAT- 2019/05/16 06:00 MHDA- 2020/01/15 06:00 CRDT- 2019/05/16 06:00 PHST- 2019/03/04 00:00 [received] PHST- 2019/04/16 00:00 [revised] PHST- 2019/05/05 00:00 [accepted] PHST- 2019/05/16 06:00 [pubmed] PHST- 2020/01/15 06:00 [medline] PHST- 2019/05/16 06:00 [entrez] AID - S0344-0338(19)30329-2 [pii] AID - 10.1016/j.prp.2019.152441 [doi] PST - ppublish SO - Pathol Res Pract. 2019 Jul;215(7):152441. doi: 10.1016/j.prp.2019.152441. Epub 2019 May 6.