PMID- 32035991 OWN - NLM STAT- MEDLINE DCOM- 20201026 LR - 20201026 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 98 DP - 2020 Apr TI - Pathologic grading of mucoepidermoid carcinomas of the salivary gland and its effect on clinicopathologic follow-up: an institutional experience. PG - 89-97 LID - S0046-8177(20)30019-8 [pii] LID - 10.1016/j.humpath.2020.02.001 [doi] AB - Mucoepidermoid carcinoma (MEC) is the most common malignant salivary gland tumor. Differences inprognosis can be noted owing to the tumor grade determined using multiple grading schemes (2-tier: low- and high-grade vs. 3-tier: low-, intermediate-, and high-grade). We studied clinicopathologic features of MEC using a 3-tier grading system and retrospectively categorized cytologic diagnoses as per the Milan System for Reporting Salivary Gland Cytopathology (MSRSGC).A total of 69 cases of MEC were identified, and most were seen in the parotid gland. Aggressive clinical behavior was seen in high-grade MEC compared with intermediate- and low-grade MEC. By fluorescence in situ hybridization (FISH) analysis, MAML2 rearrangements were seen in 78% of cases.The MSRSGC subcategorized the majority (63.8%) of MEC as salivary gland neoplasm of uncertain malignant potential, suspicious for malignancy, or malignant. Clustering intermediate- with low-grade cases did not significantly impact the clinical behavior. Both high-grade and oncocytic MEC can be MAML2 FISH negative. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Shafique, Khurram AU - Shafique K AD - University of Pennsylvania Medical Center, Philadelphia, PA, 19104, USA. FAU - Zhang, Paul J AU - Zhang PJ AD - University of Pennsylvania Medical Center, Philadelphia, PA, 19104, USA. FAU - Montone, Kathleen T AU - Montone KT AD - University of Pennsylvania Medical Center, Philadelphia, PA, 19104, USA. FAU - Song, Sharon AU - Song S AD - University of Pennsylvania Medical Center, Philadelphia, PA, 19104, USA. FAU - Livolsi, Virginia A AU - Livolsi VA AD - University of Pennsylvania Medical Center, Philadelphia, PA, 19104, USA. FAU - Baloch, Zubair AU - Baloch Z AD - University of Pennsylvania Medical Center, Philadelphia, PA, 19104, USA. Electronic address: baloch@pennmedicine.upenn.edu. LA - eng PT - Journal Article DEP - 20200206 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (ANO1 protein, human) RN - 0 (Anoctamin-1) RN - 0 (Biomarkers, Tumor) RN - 0 (MAML2 protein, human) RN - 0 (Neoplasm Proteins) RN - 0 (Trans-Activators) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anoctamin-1/analysis MH - Biomarkers, Tumor/analysis/genetics MH - Biopsy MH - Carcinoma, Mucoepidermoid/chemistry/genetics/*pathology MH - Female MH - Gene Rearrangement MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - *Neoplasm Grading MH - Neoplasm Proteins/analysis MH - Predictive Value of Tests MH - Retrospective Studies MH - Salivary Gland Neoplasms/chemistry/genetics/*pathology MH - Trans-Activators/genetics MH - Young Adult OTO - NOTNLM OT - Grading OT - MAML2 FISH OT - Milan System for Reporting Salivary Gland Cytopathology (MSRSGC) OT - Mucoepidermoid carcinoma OT - Salivary gland neoplasm EDAT- 2020/02/10 06:00 MHDA- 2020/10/27 06:00 CRDT- 2020/02/10 06:00 PHST- 2019/12/27 00:00 [received] PHST- 2020/01/24 00:00 [revised] PHST- 2020/02/03 00:00 [accepted] PHST- 2020/02/10 06:00 [pubmed] PHST- 2020/10/27 06:00 [medline] PHST- 2020/02/10 06:00 [entrez] AID - S0046-8177(20)30019-8 [pii] AID - 10.1016/j.humpath.2020.02.001 [doi] PST - ppublish SO - Hum Pathol. 2020 Apr;98:89-97. doi: 10.1016/j.humpath.2020.02.001. Epub 2020 Feb 6.