PMID- 33264107 OWN - NLM STAT- MEDLINE DCOM- 20220106 LR - 20220106 IS - 1533-4058 (Electronic) IS - 1533-4058 (Linking) VI - 29 IP - 6 DP - 2021 Jul 1 TI - Coexpress of GATA-3 and ER in Anorectal and Head and Neck Squamous Cell Carcinoma Mimicking Metastatic Breast Cancer. PG - 409-413 LID - 10.1097/PAI.0000000000000887 [doi] AB - GATA binding protein 3 (GATA-3) is a sensitive marker for breast and urothelial carcinomas. In combination with the estrogen receptor (ER), it is often used for differential diagnosis of metastatic carcinomas of breast origin. In this study, we sought to characterize GATA-3 and ER expression in squamous cell carcinoma (SqCC) of various origins to compare with breast carcinoma. Sixty-four SqCC of anorectum (35), head and neck (15), lung (11), and breast (3) as well as urothelial carcinoma (31) were included. In anorectal and head and neck SqCC, GATA-3, and ER was observed in 23/50 (46.0%) and 18/50 (36.0%) of the cases, respectively. The expression of GATA-3 and ER were present in both male and female patients without significant sex predominance. In 2 metastatic SqCC, the GATA-3 and ER expressed similar immunoreactivity compatible with their anorectal primary. Progesterone receptor was only expressed in 2 anorectal SqCC and none of head and neck SqCC or urothelial carcinomas. None of the lung SqCC expressed GATA-3 or ER (0/11). p16 was expressed in the majority of head and neck (6/12) and anorectal SqCC (26/27). Our study demonstrated that the combination of GATA-3 and ER positivity is not entirely specific for breast carcinomas, since both stains are expressed in SqCC from anorectal and head and neck origins. Clinical workup for metastatic carcinoma of suspicious breast origin should be cognizant of other tumors with a similar immunohistochemical profile (ie, SqCC). CI - Copyright (c) 2020 Wolters Kluwer Health, Inc. All rights reserved. FAU - Wang, Yihong AU - Wang Y AD - Department of Pathology and Lab Medicine, Alpert Medical School of Brown University, Providence, RI. FAU - Lu, Shaolei AU - Lu S FAU - Amin, Ali AU - Amin A FAU - Wang, Lijuan AU - Wang L LA - eng PT - Journal Article PL - United States TA - Appl Immunohistochem Mol Morphol JT - Applied immunohistochemistry & molecular morphology : AIMM JID - 100888796 RN - 0 (Biomarkers, Tumor) RN - 0 (GATA3 Transcription Factor) RN - 0 (GATA3 protein, human) RN - 0 (Receptors, Estrogen) SB - IM MH - Biomarkers, Tumor/*metabolism MH - Breast Neoplasms/*diagnosis MH - Carcinoma, Squamous Cell/*diagnosis MH - Diagnosis, Differential MH - Female MH - GATA3 Transcription Factor/*metabolism MH - Humans MH - Immunohistochemistry MH - Male MH - Neoplasm Metastasis MH - Neoplasm Staging MH - Receptors, Estrogen/*metabolism MH - Rectal Neoplasms/*diagnosis MH - Squamous Cell Carcinoma of Head and Neck/*diagnosis MH - Urothelium/*metabolism/pathology COIS- The authors declare no conflict of interest. EDAT- 2020/12/03 06:00 MHDA- 2022/01/07 06:00 CRDT- 2020/12/02 17:10 PHST- 2020/06/25 00:00 [received] PHST- 2020/10/19 00:00 [accepted] PHST- 2020/12/03 06:00 [pubmed] PHST- 2022/01/07 06:00 [medline] PHST- 2020/12/02 17:10 [entrez] AID - 00129039-202107000-00002 [pii] AID - 10.1097/PAI.0000000000000887 [doi] PST - ppublish SO - Appl Immunohistochem Mol Morphol. 2021 Jul 1;29(6):409-413. doi: 10.1097/PAI.0000000000000887.