PMID- 38058041 OWN - NLM STAT- MEDLINE DCOM- 20231218 LR - 20231218 IS - 0529-5807 (Print) IS - 0529-5807 (Linking) VI - 52 IP - 12 DP - 2023 Dec 8 TI - [Primary pulmonary NUT carcinoma: a clinicopathological analysis of seven cases]. PG - 1244-1248 LID - 10.3760/cma.j.cn112151-20230912-00165 [doi] AB - Objective: To investigate the clinicopathological characteristics of primary pulmonary NUT carcinoma. Methods: A total of 7 cases of primary pulmonary NUT carcinoma were collected from Fujian Provincial Hospital (n=5), Fuzhou Taijiang Hospital (n=1) and Binzhou City People's Hospital of Shandong Province (n=1) from January 2021 to April 2023. The clinical, histopathological, and immunohistochemical features were analyzed, and NUT rearrangement were detected by fluorescence in situ hybridization (FISH) with break-apart probes. Results: Seven cases were all male with age ranging from 32 to 73 years. The main clinical manifestations were cough, expectoration and chest tightness. Microscopically, NUT carcinoma was composed of monotonous proliferation of primitive-appearing small-to-medium round cells, with few eosinophilic cytoplasm, arranged in solid sheets, nests or clusters. Abrupt keratinization was typically observed in 4 cases (4/7), with high mitotic activities and necrosis. Immunohistochemistry (IHC) showed that the tumors were positive for NUT (7/7), CK7 (4/4), CK5/6 (5/6), p40 (6/7). Ki-67 index were 30%-80%. NUT gene segregation (7/7) was detected by FISH break probes. Conclusions: Primary pulmonary NUT carcinoma is rare and highly malignant. Diagnosis depends on histopathology and IHC, with molecular detection as an adjunct for diagnosis. Pathologists should be aware of the clinicopathological characteristics to avoid misdiagnosis. FAU - Zhuang, X P AU - Zhuang XP AD - Department of Pathology, Shengli Clinical Medical College of Fujian Medical University/Fujian Provincial Hospital, Fuzhou 350001, China. FAU - Huang, H J AU - Huang HJ AD - Department of Pathology, Shengli Clinical Medical College of Fujian Medical University/Fujian Provincial Hospital, Fuzhou 350001, China. FAU - Chen, X AU - Chen X AD - Department of Pathology, Shengli Clinical Medical College of Fujian Medical University/Fujian Provincial Hospital, Fuzhou 350001, China. FAU - Zheng, S L AU - Zheng SL AD - Department of Pathology, Fuzhou Taijiang Hospital, Fuzhou 350001, China. FAU - Li, B C AU - Li BC AD - Department of Pathology, Binzhou City People's Hospital of Shandong Province, Binzhou 256610, China. FAU - Sun, H AU - Sun H AD - Department of Pathology, Xiapu Hospital of Fujian Province, Ningde 355100, China. LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Bing Li Xue Za Zhi JT - Zhonghua bing li xue za zhi = Chinese journal of pathology JID - 0005331 RN - 0 (Neoplasm Proteins) RN - 0 (NUTM1 protein, human) SB - IM MH - Adult MH - Aged MH - Humans MH - Male MH - Middle Aged MH - *Carcinoma/genetics/pathology MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - *Lung Neoplasms/pathology MH - Neoplasm Proteins/genetics EDAT- 2023/12/07 06:42 MHDA- 2023/12/11 12:41 CRDT- 2023/12/07 01:06 PHST- 2023/12/11 12:41 [medline] PHST- 2023/12/07 06:42 [pubmed] PHST- 2023/12/07 01:06 [entrez] AID - 10.3760/cma.j.cn112151-20230912-00165 [doi] PST - ppublish SO - Zhonghua Bing Li Xue Za Zhi. 2023 Dec 8;52(12):1244-1248. doi: 10.3760/cma.j.cn112151-20230912-00165.