PMID- 32542810 OWN - NLM STAT- MEDLINE DCOM- 20210622 LR - 20210622 IS - 1440-1827 (Electronic) IS - 1320-5463 (Linking) VI - 70 IP - 9 DP - 2020 Sep TI - Genomic-based ancillary assays offer improved diagnostic yield of effusion cytology with potential challenges in malignant pleural mesothelioma. PG - 671-679 LID - 10.1111/pin.12973 [doi] AB - BRCA1-associated protein 1 (BAP1) or methylthioadenosine phosphorylase (MTAP) immunohistochemistry (IHC) or 9p21 fluorescence in situ hybridization (FISH) are useful for the diagnosis of malignant pleural mesothelioma (MPM). However, the effect of these assays on the diagnostic yield of effusion cytology in MPM cases with suspicious cytomorphology or the diagnostic challenges in BAP1 or MTAP IHC have not been fully elucidated. Two cohorts of cytologic preparations obtained from pleural effusions were examined: MPM cases in cohort 1 were used to evaluate whether BAP1 or MTAP IHC or 9p21 FISH increase the diagnostic yield of effusion cytology; cohort 2 included cases suspicious for MPM, to which BAP1 or MTAP IHC was applied to clarify the challenges in the clinical assessment of these assays. In cohort 1 (n = 28), either assay elevated 62.5% of class II or III cases to class V. In cohort 2 (n = 139), 21.7% of BAP1 immunocytochemistry in smears and 10.6% of BAP1 IHC and 9.4% of MTAP IHC in cell blocks, were identified to be challenging. The application of genomic-based assays increased the diagnostic yield of effusion cytology in the diagnosis of MPM. However, diagnostic challenges limit the application of these assays in some cases. CI - (c) 2020 Japanese Society of Pathology and John Wiley & Sons Australia, Ltd. FAU - Kinoshita, Yoshiaki AU - Kinoshita Y AD - Department of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan. AD - Department of Respiratory Medicine, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan. FAU - Hamasaki, Makoto AU - Hamasaki M AUID- ORCID: 0000-0002-2481-3888 AD - Department of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan. FAU - Matsumoto, Shinji AU - Matsumoto S AD - Department of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan. FAU - Yoshimura, Masayo AU - Yoshimura M AD - Department of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan. FAU - Sato, Ayuko AU - Sato A AD - Department of Pathology, Hyogo College of Medicine, Hyogo, Japan. FAU - Tsujimura, Tohru AU - Tsujimura T AD - Department of Pathology, Hyogo College of Medicine, Hyogo, Japan. FAU - Kamei, Toshiaki AU - Kamei T AD - Pathology and Cytology Center, BML group PCL Japan, Inc., Fukuoka, Japan. FAU - Kawahara, Kunimitsu AU - Kawahara K AUID- ORCID: 0000-0001-9103-6719 AD - Department of Pathology, Osaka Habikino Medical Center, Osaka, Japan. FAU - Nabeshima, Kazuki AU - Nabeshima K AUID- ORCID: 0000-0002-0691-1222 AD - Department of Pathology, Fukuoka University Hospital and School of Medicine, Fukuoka, Japan. LA - eng GR - #171032/Central Research Institute of Fukuoka University/ GR - Grants-in-Aid for Scientific Research (#24590495)/Japanese Society for the Promotion of Science/ GR - Research Center for Advanced Molecular Medicine, Fukuoka University/ PT - Journal Article DEP - 20200615 PL - Australia TA - Pathol Int JT - Pathology international JID - 9431380 RN - 0 (BAP1 protein, human) RN - 0 (Biomarkers, Tumor) RN - 0 (Tumor Suppressor Proteins) RN - EC 2.4.2.1 (Purine-Nucleoside Phosphorylase) RN - EC 2.4.2.28 (5'-methylthioadenosine phosphorylase) RN - EC 3.4.19.12 (Ubiquitin Thiolesterase) SB - IM MH - Biomarkers, Tumor/chemistry/metabolism MH - Cytodiagnosis MH - Diagnosis, Differential MH - Genome, Human MH - Genomics MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lung Neoplasms/diagnosis/genetics/pathology MH - Mesothelioma/diagnosis/genetics/pathology MH - *Mesothelioma, Malignant/diagnosis/genetics/pathology MH - Neoplasm Grading MH - Pleural Effusion/pathology MH - *Pleural Neoplasms/diagnosis/genetics/pathology MH - *Purine-Nucleoside Phosphorylase/chemistry/genetics/metabolism MH - *Tumor Suppressor Proteins/chemistry/genetics/metabolism MH - *Ubiquitin Thiolesterase/chemistry/genetics/metabolism OTO - NOTNLM OT - BRCA1-associated protein 1 OT - cell block OT - methylthioadenosine phosphorylase OT - pleural effusion OT - smear EDAT- 2020/06/17 06:00 MHDA- 2021/06/23 06:00 CRDT- 2020/06/17 06:00 PHST- 2020/03/03 00:00 [received] PHST- 2020/05/22 00:00 [revised] PHST- 2020/05/27 00:00 [accepted] PHST- 2020/06/17 06:00 [pubmed] PHST- 2021/06/23 06:00 [medline] PHST- 2020/06/17 06:00 [entrez] AID - 10.1111/pin.12973 [doi] PST - ppublish SO - Pathol Int. 2020 Sep;70(9):671-679. doi: 10.1111/pin.12973. Epub 2020 Jun 15.