PMID- 35596704 OWN - NLM STAT- MEDLINE DCOM- 20220825 LR - 20220825 IS - 1440-1827 (Electronic) IS - 1320-5463 (Linking) VI - 72 IP - 8 DP - 2022 Aug TI - Update of pathological diagnosis of pleural mesothelioma using genomic-based morphological techniques, for both histological and cytological investigations. PG - 389-401 LID - 10.1111/pin.13235 [doi] AB - As more than 80% of pleural mesothelioma (PM) cases start with pleural effusions, diagnosis with effusion smear cytology or pleural biopsy is important. For diagnosing PM, a three-step approach is used: (1) detecting atypical cells; (2) verifying their mesothelial origin using immunohistochemistry (IHC); and (3) discriminating PM from benign mesothelial proliferations (BMP). The third step is critical for diagnosing early lesions. In small biopsy or cytologic specimens in which tumor cell fat invasion cannot be assessed, genomic-based assays, including IHC-detected BAP1 loss and fluorescence in situ hybridization (FISH)-detected homozygous deletion (HD) of CDKN2A/p16, are effective for differentiation. Both BAP1 IHC and CDKN2A FISH can equally be applied to histologic and cytologic specimens, with 100% specificity in discriminating PM from BMP. We found that methylthioadenosine phosphorylase (MTAP) loss as detected by IHC could serve as a feasible alternative in tissue and cytologic preparations for CDKN2A FISH. However, a combination including FISH was still most effective: the addition of NF2 FISH to CDKN2A FISH and BAP1 IHC yielded a greater sensitivity of close to 100% in diagnosing PM tissues. Although IHC is more feasible than FISH, owing to remaining challenges in data interpretation, caution and familiarity are warranted when diagnosing PM. CI - (c) 2022 Japanese Society of Pathology and John Wiley & Sons Australia, Ltd. FAU - Nabeshima, Kazuki AU - Nabeshima K AUID- ORCID: 0000-0002-0691-1222 AD - Department of Pathology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan. FAU - Hamasaki, Makoto AU - Hamasaki M AUID- ORCID: 0000-0002-2481-3888 AD - Department of Pathology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan. FAU - Kinoshita, Yoshiaki AU - Kinoshita Y AD - Department of Pathology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan. FAU - Matsumoto, Shinji AU - Matsumoto S AD - Department of Pathology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan. FAU - Sa-Ngiamwibool, Prakasit AU - Sa-Ngiamwibool P AUID- ORCID: 0000-0002-5090-6594 AD - Department of Pathology, Fukuoka University School of Medicine and Hospital, Fukuoka, Japan. AD - Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kean, Thailand. LA - eng GR - #200598/Grant from the Ministry of the Environment/ GR - Grant from the Research Center for Advanced Molecular Medicine, Fukuoka University/ GR - #19K07451/Grants-in-Aid for Scientific Research from the Japanese Society for the Promotion of Science/ PT - Journal Article PT - Review DEP - 20220521 PL - Australia TA - Pathol Int JT - Pathology international JID - 9431380 RN - 0 (Biomarkers, Tumor) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (Tumor Suppressor Proteins) RN - EC 3.4.19.12 (Ubiquitin Thiolesterase) SB - IM MH - Biomarkers, Tumor/genetics MH - Cyclin-Dependent Kinase Inhibitor p16/genetics MH - Genomics MH - Homozygote MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Lung Neoplasms/pathology MH - *Mesothelioma/diagnosis/genetics/pathology MH - *Mesothelioma, Malignant/diagnosis MH - *Pleural Neoplasms/diagnosis/genetics/pathology MH - Sequence Deletion MH - Tumor Suppressor Proteins/genetics MH - Ubiquitin Thiolesterase/genetics OTO - NOTNLM OT - BAP1 OT - CDKN2A OT - FISH OT - MTAP OT - NF2 OT - cytology OT - histology OT - pleural mesothelioma EDAT- 2022/05/22 06:00 MHDA- 2022/08/26 06:00 CRDT- 2022/05/21 08:13 PHST- 2022/01/20 00:00 [received] PHST- 2022/04/28 00:00 [accepted] PHST- 2022/05/22 06:00 [pubmed] PHST- 2022/08/26 06:00 [medline] PHST- 2022/05/21 08:13 [entrez] AID - 10.1111/pin.13235 [doi] PST - ppublish SO - Pathol Int. 2022 Aug;72(8):389-401. doi: 10.1111/pin.13235. Epub 2022 May 21.