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Biagini GLK, Ribas CAPM, Higashi HD, Hirata VY, Zella MAK, Bartolomei I, Biagini G, Collaço LM. Wnt3a but not CDX-2 expression is associated with differentiated thyroid cancer. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2022; 68:400-404. [PMID: 35442371 DOI: 10.1590/1806-9282.20211132] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Accepted: 01/06/2022] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Thyroid neoplasm incidence has increased worldwide, mostly due to the advancements in medical imaging and screening rates. The aberrant Wnt/β-catenin pathway has been identified as a key mechanism, and it has also been related to the metastatic activity of differentiated thyroid cancer. We aimed to verify the difference in the expression of Wnt3a, a canonical activator of the β-catenin signaling, and CDX-2, a transcription factor upregulated by Wnt/β-catenin pathway, in multinodular goiter and differentiated thyroid cancer and to determine their prognostic value. METHODS We included 194 thyroid tissue surgical specimen and their clinicopathological data: study group (differentiated thyroid cancer, n=154) and control group (multinodular goiter, n=40). Immunohistochemistry (IHC) was performed on formalin-fixed, paraffin-embedded tissue by the primary antibodies Wnt3a and CDX-2. RESULTS High Wnt3a expression was significantly associated with differentiated thyroid cancer (p=0.031). CDX-2 was negative in all differentiated thyroid cancer cases (100%) and also in multinodular goiter. Wnt3a expression was significantly associated with tumors ≤20 mm (p=0.044) and with the absence of capsule invasion (p=0.031). The multivariate analyses suggested that older age (≥55), independent of capsular invasion and tumor size, was an independent prognostic factor for Wnt3a expression (p=0.058). CONCLUSIONS Wnt3a expression but not CDX-2 is correlated with differentiated thyroid cancer samples in comparison to multinodular goiter. Although its prognostic value was limited to tumor size and capsule invasion, a combined model in a panel of immune markers can add accuracy in the classification of challenging thyroid follicular-derived lesions.
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Affiliation(s)
- Gleyne Lopes Kujew Biagini
- Faculdade de Medicina da Escola Evangélica Mackenzie, Medical Research Institute - Curitiba (PR), Brazil
| | | | - Henrique Diez Higashi
- Faculdade de Medicina da Escola Evangélica Mackenzie, Medical Research Institute - Curitiba (PR), Brazil
| | - Vanessa Yumi Hirata
- Faculdade de Medicina da Escola Evangélica Mackenzie, Medical Research Institute - Curitiba (PR), Brazil
| | - Maria Augusta Karas Zella
- Faculdade de Medicina da Escola Evangélica Mackenzie, Medical Research Institute - Curitiba (PR), Brazil
| | - Ivan Bartolomei
- Faculdade de Medicina da Escola Evangélica Mackenzie, Medical Research Institute - Curitiba (PR), Brazil
| | - Giuliana Biagini
- Instituto Carlos Chagas, Fundação Oswaldo Cruz - Curitiba (PR), Brazil
| | - Luiz Martins Collaço
- Faculdade de Medicina da Escola Evangélica Mackenzie, Medical Research Institute - Curitiba (PR), Brazil
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2
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Blasi MA, Maceroni M, Musarra T, Sammarco MG, Pagliara MM, Petrone G. Adenocarcinoma NOS arising from accessory lacrimal glands: A case report and a review of the literature. Eur J Ophthalmol 2021; 32:NP71-NP77. [PMID: 33663254 DOI: 10.1177/1120672121999993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Primary malignant epithelial tumours arising from accessory lacrimal glands (ALGs) are extremely rare, with only few cases reported in literature. They generally appear as gradually increasing masses of the upper or the lower eyelid. Only one case of primary adenocarcinoma or adenocarcinoma not otherwise specified (ACNOS) from ALGs has been reported in literature. Herein, we describe a case of ACNOS arising from ALGs with an atypical clinical presentation and review prior cases of ALGs epithelial malignancies reported in the literature. A 78-year-old man referred to our Ocular Oncology Unit for adjuvant therapy after the excision of a conjunctival tumour of the left eye with a histological diagnosis of squamous cell carcinoma. He underwent topical chemotherapy with MMC and during follow up he presented a multinodular iris mass in his left eye. The MRI of the orbit showed an ocular mass infiltrating orbital soft tissues of the inferior palpebral region with an involvement of the corresponding zygomatic cutis. We performed orbital exenteration and histological studies revealed an epithelial neoplasm with a solido-glandular growth pattern with lumens containing an eosinophilic material positive for PAS and PAS-D. The immunohistochemical findings confirmed the diagnosis of adenocarcinoma NOS from ALGs. Although ALGs epithelial malignancies are extremely uncommon, they should be considered in the differential diagnosis of ocular tumours. A vigilant approach towards these entities is required, since they can be clinically insidious and locally aggressive.
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Affiliation(s)
- Maria Antonietta Blasi
- UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia.,Università Cattolica del Sacro Cuore, Roma, Italia
| | - Martina Maceroni
- UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia.,Università Cattolica del Sacro Cuore, Roma, Italia
| | - Teresa Musarra
- Istituto di Patologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Maria Grazia Sammarco
- UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Monica Maria Pagliara
- UOC Oncologia Oculare, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
| | - Gianluigi Petrone
- Istituto di Patologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia
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3
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Bogolyubova AV, Abrosimov AY, Selivanova LS, Belousov PV. [Histopatological and molecular genetic characteristics of clinically aggressive variants of papillary thyroid carcinoma]. Arkh Patol 2019; 81:46-51. [PMID: 30830105 DOI: 10.17116/patol20198101146] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Papillary carcinoma is the most commonly diagnosed form of well-differentiated thyroid cancer that is generally characterized by a favorable prognosis. However, a number of relatively rare variants of this tumor, such as papillary carcinoma of high cells, papillary carcinoma of columnar cells, a diffuse sclerosing variant and recently described cancer of shoe nail cell type, are characterized by a less favorable clinical course, a high frequency of distant metastasis, and relatively low overall and relapse-free survival rates. In this connection, it is important to recognize these options at the stage of a primary morphological study. This review of the literature considers the morphological, clinical and molecular genetic features of the above variants of papillary thyroid carcinoma.
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Affiliation(s)
- A V Bogolyubova
- V.A. Engelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, Russia; Faculty of Biology, M.V. Lomonosov Moscow State University, Moscow, Russia
| | - A Yu Abrosimov
- National Medical Research Center for Endocrinology, Ministry of Health of Russia, Moscow, Russia; National Research Technological University 'Moscow Institute of Steel and Alloys', Moscow, Russia
| | - L S Selivanova
- National Medical Research Center for Endocrinology, Ministry of Health of Russia, Moscow, Russia
| | - P V Belousov
- V.A. Engelhardt Institute of Molecular Biology, Russian Academy of Sciences, Moscow, Russia; National Research Technological University 'Moscow Institute of Steel and Alloys', Moscow, Russia
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4
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Kakudo K, Bychkov A, Bai Y, Li Y, Liu Z, Jung CK. The new 4th edition World Health Organization classification for thyroid tumors, Asian perspectives. Pathol Int 2018; 68:641-664. [PMID: 30537125 DOI: 10.1111/pin.12737] [Citation(s) in RCA: 49] [Impact Index Per Article: 8.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Affiliation(s)
- Kennichi Kakudo
- Faculty of Medicine, Department of Pathology and Laboratory Medicine, Nara Hospital, Kindai University, Ikoma-city, Japan
| | - Andrey Bychkov
- Department of Pathology, Kameda Medical Center, Kawagoe, Chiba, Japan.,Department of Pathology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Yanhua Bai
- Key Laboratory of Carcinogenesis and Translational Research, (Ministry of Education), Department of Pathology, Peking University Cancer Hospital & Institute, Beijing, China
| | - Yaqiong Li
- Department of Pathology, Shandong Provincial Hospital Affiliated to Shandong University, Shandong, China
| | - Zhiyan Liu
- Department of Pathology, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Shandong, China
| | - Chan Kwon Jung
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
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5
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Gu H, Sui S, Cui X, Han B, Zhang C, Qi M, Li C, Liu Z. Thyroid carcinoma producing β-human chorionic gonadotropin shows different clinical behavior. Pathol Int 2018; 68:207-213. [PMID: 29446856 DOI: 10.1111/pin.12639] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 12/21/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Haiyan Gu
- Department of Pathology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
- Department of Pathology; The Affiliated Hospital of Qingdao University; 16#, Jiangsu Road Qingdao Shandong 266003 PR China
| | - Shaofeng Sui
- Institute of Occupational and Environmental Health; Shandong Center for Disease Control and Prevention; 16992#, Jingshi Road Jinan Shandong 250014 PR China
| | - Xiujie Cui
- Department of Pathology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
- Department of pathogeny biology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
| | - Bo Han
- Department of Pathology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
- Department of Pathology; Shandong University Qilu Hospital; 107#, Wenhua Xi Road Jinan Shandong 250012 PR China
| | - Chunyan Zhang
- Department of Pathology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
- Department of Pathology; The Affiliated Hospital of Jining Medical College; 89#, Guhuai Road Jining Shandong 272029 PR China
| | - Mei Qi
- Department of Pathology; Shandong University Qilu Hospital; 107#, Wenhua Xi Road Jinan Shandong 250012 PR China
| | - Congcong Li
- Department of Pathology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
- Department of Obstetrics and Gynecology; Renji Hospital, School of Medicine, Shanghai Jiao Tong University; Shanghai 200120 PR China
| | - Zhiyan Liu
- Department of Pathology; Shandong University School of Basic Medical Sciences; 44#, Wenhua Xi Road Jinan Shandong 250012 PR China
- Department of Pathology; Shandong University Qilu Hospital; 107#, Wenhua Xi Road Jinan Shandong 250012 PR China
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Bongiovanni M, Mermod M, Canberk S, Saglietti C, Sykiotis GP, Pusztaszeri M, Ragazzi M, Mazzucchelli L, Giovanella L, Piana S. Columnar cell variant of papillary thyroid carcinoma: Cytomorphological characteristics of 11 cases with histological correlation and literature review. Cancer Cytopathol 2017; 125:389-397. [DOI: 10.1002/cncy.21860] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Revised: 02/16/2017] [Accepted: 03/07/2017] [Indexed: 01/30/2023]
Affiliation(s)
- Massimo Bongiovanni
- Clinical Pathology Service, Institute of Pathology; Lausanne University Hospital; Lausanne Switzerland
| | - Maxime Mermod
- Department of Otolaryngology and Head and Neck Surgery; Lausanne University Hospital; Lausanne Switzerland
| | - Sule Canberk
- Division of Cytology, Department of Pathology; Acibadem University; Istanbul Turkey
| | - Chiara Saglietti
- Clinical Pathology Service, Institute of Pathology; Lausanne University Hospital; Lausanne Switzerland
| | - Gerasimos P. Sykiotis
- Endocrinology, Diabetology, and Metabolism Service; Lausanne University Hospital; Lausanne Switzerland
| | - Marc Pusztaszeri
- Department of Clinical Pathology; Geneva University Hospitals; Geneva Switzerland
| | - Moira Ragazzi
- Pathology Unit; Arcispedale Santa Maria Nuova-IRCCS; Reggio Emilia Italy
| | | | - Luca Giovanella
- Department of Nuclear Medicine and Thyroid Centre; Oncology Institute of Southern Switzerland; Bellinzona Switzerland
| | - Simonetta Piana
- Pathology Unit; Arcispedale Santa Maria Nuova-IRCCS; Reggio Emilia Italy
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Tilson MP, Gallia GL, Bishop JA. Among sinonasal tumors, CDX-2 immunoexpression is not restricted to intestinal-type adenocarcinomas. Head Neck Pathol 2013; 8:59-65. [PMID: 23846317 PMCID: PMC3950377 DOI: 10.1007/s12105-013-0475-7] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Accepted: 07/03/2013] [Indexed: 12/14/2022]
Abstract
Intestinal-type adenocarcinoma (ITAC) is a rare form of sinonasal cancer characterized by an association with exposure to industrial dusts, aggressive clinical behavior, and histologic/immunophenotypic similarity to tumors of the gastrointestinal tract. ITAC is sometimes very poorly differentiated and difficult to distinguish from other sinonasal neoplasms, particularly in a limited biopsy. CDX-2 and cytokeratin 20 are consistently immunoreactive in ITAC and as a result, these immunostains are often used to support the diagnosis. However, CDX-2 and cytokeratin 20 have not been tested on a broad range of sinonasal tumors, so their specificities remain unknown. Immunohistochemistry for CDX-2 and cytokeratin 20 was performed on 6 sinonasal ITACs as well as 176 non-intestinal-type sinonasal neoplasms. CDX-2 and cytokeratin 20 were positive in all 6 cases of ITAC. CDX-2 immunoexpression was also observed in 17 of 176 (10 %) non-intestinal-type tumors including 6 of 16 (38 %) sinonasal undifferentiated carcinomas, 8 of 81 (10 %) squamous cell carcinomas (including 5 of 39 non-keratinizing variants), 2 of 20 (10 %) salivary-type adenocarcinomas, and 1 of 2 (50 %) small cell carcinomas. In contrast, among non-intestinal types of sinonasal tumors, cytokeratin 20 was only focally observed in 1 of 176 non-intestinal tumors (a non-keratinizing squamous cell carcinoma). All cases of non-intestinal surface-derived adenocarcinoma and esthesioneuroblastoma were negative for both markers. Both CDX-2 and cytokeratin 20 are highly sensitive for the diagnosis of sinonasal ITAC, but cytokeratin 20 is more specific. CDX-2 staining may be observed in other high grade tumor types, especially sinonasal undifferentiated carcinoma and non-keratinizing squamous cell carcinoma. As a result, in the setting of a poorly differentiated sinonasal carcinoma the diagnosis of ITAC should not be based on CDX-2 immunoexpression alone. Clear-cut glandular differentiation and cytokeratin 20 immunoexpression are more reliable features.
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Affiliation(s)
- Matthew P. Tilson
- grid.21107.350000000121719311Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD USA
| | - Gary L. Gallia
- grid.21107.350000000121719311Department of Neurosurgery, Johns Hopkins Medical Institutions, Baltimore, MD USA ,grid.21107.350000000121719311Department of Oncology, Johns Hopkins Medical Institutions, Baltimore, MD USA
| | - Justin A. Bishop
- grid.21107.350000000121719311Department of Pathology, Johns Hopkins Medical Institutions, Baltimore, MD USA ,grid.21107.350000000121719311Johns Hopkins University School of Medicine, 401 N. Broadway, Weinberg 2249, Baltimore, MD 21231 USA
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