PMID- 31611441 OWN - NLM STAT- MEDLINE DCOM- 20200220 LR - 20220410 IS - 0974-5130 (Electronic) IS - 0377-4929 (Linking) VI - 62 IP - 4 DP - 2019 Oct-Dec TI - Morphological characterization and molecular profiling of malignant pericardial effusion in patients with pulmonary adenocarcinoma. PG - 566-571 LID - 10.4103/IJPM.IJPM_69_19 [doi] AB - CONTEXT: Malignant pericardial effusions (MPCEs) is a common complication observed in advanced pulmonary adenocarcinoma. In such cases, investigating molecular alterations can have significant therapeutic implication in determining anticancer drugs. AIM: The objective was to evaluate the significance of cell block technique in the diagnosis of MPCE and further investigate the morphological and molecular profiles of MPCE in patients with pulmonary adenocarcinoma. SETTING AND DESIGN: Cytopathological and molecular profiles of 19 MPCE cases in patients with pulmonary adenocarcinoma were retrospectively analyzed. The control group consisted of 14 malignant pleural effusion (MPE) cases in patients with pulmonary adenocarcinoma. MATERIALS AND METHODS: Anaplastic lymphoma kinase (ALK) and tyrosine-protein kinase Met (C-MET) expression was evaluated by fluorescence in situ hybridization (FISH). Epithelial growth factor receptor (EGFR) and K-Ras (KRAS) mutations were detected by ARMS real-time polymerase chain reaction (RT-PCR). STATISTICAL ANALYSIS USED: Associations between MPCE and MPE were analyzed using Fisher's exact test. RESULTS: MPCE was found to have micropapillary and solid pattern predominant with mucin secretion compared to acinar patterns, as seen in MPE. Seventeen MPCE cases (89.5%) and all MPE cases (100%) underwent molecular analysis. Mutations in EGFR and KRAS, ALK rearrangement, and C-MET amplification were observed in MPCE and MPE with statistical differences. Additionally, two MPCE cases demonstrated EGFR T790M mutation and multiple insertions at L858. CONCLUSIONS: MPCE shows micropapillary and solid cytological patterns predominant with mucin secretion. MPCE are suitable to analyze oncogenic mutations and to develop targeted therapy for patients with pulmonary adenocarcinoma. Further molecular investigations may reveal novel molecular alterations. FAU - Zhou, Bing AU - Zhou B AD - Department of Oncology, The First Affiliated Hospital of Nanchang University, Nanchang; Department of Pathology, The Affiliated Jiujiang Hospital of Nanchang University, Jiujiang, Jiangxi, P.R. China. FAU - Li, Lin AU - Li L AD - Department of Gerontology, Wuhan No. 1 Hospital, Wuhan, Hubei, P.R. China. FAU - Shi, Dayou AU - Shi D AD - Department of Oncology, The First Affiliated Hospital of Nanchang University, Nanchang, P.R. China. FAU - Jiang, Tao AU - Jiang T AD - Department of Pathology, The Affiliated Jiujiang Hospital of Nanchang University, Jiujiang, Jiangxi, P.R. China. FAU - Xue, Guohui AU - Xue G AD - Department of Oncology, The First Affiliated Hospital of Nanchang University, Nanchang, P.R. China. FAU - Xiong, Jianping AU - Xiong J AD - Department of Oncology, The First Affiliated Hospital of Nanchang University, Nanchang, P.R. China. LA - eng PT - Journal Article PL - India TA - Indian J Pathol Microbiol JT - Indian journal of pathology & microbiology JID - 7605904 RN - 0 (KRAS protein, human) RN - EC 2.7.10.1 (EGFR protein, human) RN - EC 2.7.10.1 (ErbB Receptors) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) SB - IM MH - Adenocarcinoma of Lung/*genetics/pathology MH - Adult MH - Aged MH - Aged, 80 and over MH - ErbB Receptors/genetics MH - Female MH - *Gene Expression Profiling MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Mutation MH - Pericardial Effusion/*cytology/*genetics MH - Pleural Neoplasms/diagnosis/*genetics MH - Proto-Oncogene Proteins p21(ras)/genetics MH - Retrospective Studies OTO - NOTNLM OT - Cytology OT - malignant pericardial effusion OT - oncogene mutation OT - pulmonary adenocarcinoma EDAT- 2019/10/16 06:00 MHDA- 2020/02/23 06:00 CRDT- 2019/10/16 06:00 PHST- 2019/10/16 06:00 [entrez] PHST- 2019/10/16 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] AID - IndianJPatholMicrobiol_2019_62_4_566_269079 [pii] AID - 10.4103/IJPM.IJPM_69_19 [doi] PST - ppublish SO - Indian J Pathol Microbiol. 2019 Oct-Dec;62(4):566-571. doi: 10.4103/IJPM.IJPM_69_19.