Conjunctival ‘mucoepidermoid carcinoma’ revisited: a revision of terminology, based on morphologic, immunohistochemical and molecular findings of 14 cases, and the 2018 WHO Classification of Tumours of the Eye

作者: Hardeep S Mudhar , Tatyana Milman , Paul JL Zhang , Carol L Shields , Ralph C Eagle

DOI: 10.1038/S41379-020-0456-9

关键词: Molecular pathologyGlandular DifferentiationMucinMucoepidermoid carcinomaCarcinomaImmunohistochemistryAdenocarcinomaMedicinePathologyAdenosquamous carcinoma

摘要: In 2018, the consensus meeting for WHO Classification of Tumours Eye decided that conjunctival mucoepidermoid carcinoma should be reclassified as adenosquamous carcinoma, this represented a better morphological fit. To examine applicability terminology, we studied clinical, histopathological, immunohistochemical and molecular pathology 14 cases were originally diagnosed carcinoma. There 7 (50%) females males. The median age was 64 years. left eye affected in 8 right 6 patients. In-situ present 11/14 (79%) comprised in-situ squamous cell (SCC) intraepithelial neoplasia with mucinous differentiation (CIN-Muc). Invasive cases. Group 1 (1/11 cases, 9%) invasive SCC only. 2 (6/11 55%) differentiation, manifesting scattered intracellular mucin, occasionally together intercellular no evidence true glandular differentiation. 3 (3/11 27%) 4 pure adenocarcinoma. Thirteen (93%) underwent FISH MAML2 translocation none rearranged. Two harboured high-risk HPV (type 16 18). combined findings confirm all lesions our study not but predominantly We, therefore, recommend future revision classification to include alongside

参考文章(56)
Madhura G. Joag, Anita Gupta, Anat Galor, Sander R. Dubovy, Jose Antonio Bermudez-Magner, Jianhua Wang, Carol L. Karp, Conjunctival Intraepithelial Neoplasia with Mucoepidermoid Differentiation: A Case Report of a Subtle Lesion. Ocular Oncology and Pathology. ,vol. 1, pp. 278- 282 ,(2015) , 10.1159/000381645
Jyotirmay Biswas, Manoj Datta, Nirmala Subramaniam, Mucoepidermoid carcinoma of the lower lid - report of a case Indian Journal of Ophthalmology. ,vol. 44, pp. 231- ,(1996)
Jason I. Kass, Steve C. Lee, Shira Abberbock, Raja R. Seethala, Umamaheswar Duvvuri, Adenosquamous carcinoma of the head and neck: Molecular analysis using CRTC-MAML FISH and survival comparison with paired conventional squamous cell carcinoma Laryngoscope. ,vol. 125, ,(2015) , 10.1002/LARY.25519
Pukhraj Rishi, Rashi Sharma, Krishnakumar Subramanian, Nirmala Subramaniam, Mucoepidermoid carcinoma of the conjunctiva with lung metastasis. Indian Journal of Ophthalmology. ,vol. 63, pp. 457- 459 ,(2015) , 10.4103/0301-4738.159893
H.Kaz Soong, Stanley H Feil, Victor M Elner, Susan Elner, Andrew Flint, Conjunctival mucoepidermoid carcinoma in a young HIV-infected man. American Journal of Ophthalmology. ,vol. 128, pp. 640- 643 ,(1999) , 10.1016/S0002-9394(99)00241-X
Joaquin J. García, Jennifer L. Hunt, Ilan Weinreb, Jonathan B. McHugh, E. Leon Barnes, Kathleen Cieply, Sanja Dacic, Raja R. Seethala, Fluorescence in situ hybridization for detection of MAML2 rearrangements in oncocytic mucoepidermoid carcinomas: utility as a diagnostic test Human Pathology. ,vol. 42, pp. 2001- 2009 ,(2011) , 10.1016/J.HUMPATH.2011.02.028
J. W. Gamel, R. A. Eiferman, P. Guibor, Mucoepidermoid carcinoma of the conjunctiva. Archives of Ophthalmology. ,vol. 102, pp. 730- 731 ,(1984) , 10.1001/ARCHOPHT.1984.01040030586026
SATORU KASE, HIROSHI YOSHIKAWA, YUTAKA NAKAJIMA, MIKA NODA, SUSUMU ISHIDA, Adenosquamous carcinoma of the conjunctiva: A case report Oncology Letters. ,vol. 7, pp. 1941- 1943 ,(2014) , 10.3892/OL.2014.2008
Simion I. Chiosea, Sanja Dacic, Marina N. Nikiforova, Raja R. Seethala, Prospective testing of mucoepidermoid carcinoma for the MAML2 translocation: Clinical Implications Laryngoscope. ,vol. 122, pp. 1690- 1694 ,(2012) , 10.1002/LARY.22419
Curtis E. Margo, Lewis R. Groden, Intraepithelial neoplasia of the conjunctiva with mucoepidermoid differentiation. American Journal of Ophthalmology. ,vol. 108, pp. 600- 601 ,(1989) , 10.1016/0002-9394(89)90443-1