期刊论文详细信息
BMC Clinical Pathology
Primary adenocarcinoma of the thymus: an immunohistochemical and molecular study with review of the literature
Yahya Daneshbod2  Abolfazl Saeedzadeh2  Reiner Siebert1  Pablo Bejarano3  Inga Nagel1  Mani Ramzi4  Maryam Maghbool2 
[1] Institute of Human Genetics, Christian-Albrechts University Kiel and University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany;Department of Molecular Pathology, Dr Daneshbod Pathology Laboratory, Shiraz, Iran;Department of Pathology, JMH/University of Miami School of Medicine, Miami, USA;Department of Hematology- Oncology, Shiraz University of Medical Sciences, Shiraz, Iran
关键词: Literature review;    Immunohistochemical study;    CGH array;    Molecular study;    Thymoma;    Thymic carcinoma;    Intestinal differentiation;    Primary adenocarcinoma;    Thymus gland;   
Others  :  1084944
DOI  :  10.1186/1472-6890-13-17
 received in 2013-01-02, accepted in 2013-05-22,  发布年份 2013
PDF
【 摘 要 】

Background

Primary adenocarcinoma of thymus is extremely rare.

Case presentation

This is a case of primary adenocarcinoma with intestinal differentiation and focal mucin production in the thymus. Thymic cyst was associated with this tumor. Intestinal differentiation was confirmed by immunohistochemical stain with positivity for CDX-2, CK20, villin, MOC31 and focal positivity of CK7. Array comperative genomic hybridization (CGH) analysis showed a complex pattern of chromosomal imbalances including homozygous deletion at the HLA locus in chromosomal region 6p21.32.

Conclusion

This rare tumor shows a similar genetic aberration with other studied thymic epithelial tumors.

【 授权许可】

   
2013 Maghbool et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150113165509443.pdf 1899KB PDF download
Figure 1. 144KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Takahashi F, Tsuta K, Matsuno Y, Takahashi K, Toba M, Sato K, Uekusa T, Izumi H, Nakamura K, Hirose S, Fukuchi Y: Adenocarcinoma of the thymus:mucinous subtype. Hum Pathol 2005, 36:219-223.
  • [2]Moriyama S, Shimizu N, Kurita A, Teramoto S, Taguchi K: A case of adenocarcinoma of the thymus. Nihon KyobuGekaGakkaiZasshi 1989, 37:717-722.
  • [3]Shimosato Y, Mukai K: Tumors of the mediastinum. Atlas of tumor pathology, third series, fascicle 21. Washington, DC: Armed Forces Institute of Pathology; 1997:120-158.
  • [4]Kapur P, Rakheja D, Bastasch M, Molberg KH, Sarode VR: Primary mucinous adenocarcinoma of the thymus: a case report and review of the literature. Arch Pathol Lab Med 2006, 130:201-204.
  • [5]Matsuno Y, Morozumi N, Hirohashi S, Shimosato Y, Rosai J: Papillary carcinoma of the thymus: report of four cases of a new microscopic type of thymic carcinoma. Am J SurgPathol 1998, 22:873-880.
  • [6]Makino Y, Asada M, Suzuki T, Hashimoto M: A case of adenocarcinoma of the thymus. Jpn J Thorac Cardiovasc Surg 1998, 46:1168-1171.
  • [7]Choi WW, Lui YH, Lau WH, Crowley P, Khan A, Chan JK: Adenocarcinoma of the thymus: report of two cases, including a previously undescribed mucinous subtype. Am J Surg Pathol 2003, 27:124-130.
  • [8]Shimosato Y, Mukai K: Tumors of the mediastinum. Atlas of tumor pathology, forth series, fascicle 11. American Registry of Pathology: Washington, DC; 2010.
  • [9]Sawai T, Inoue Y, Doi S, Ikuta Y, Kimino K, Nakashima M, Soda H, Kohno S: Tubular adenocarcinoma of the thymus: case report and review of the Literature. Int J Surg Pathol 2006, 14:243-246.
  • [10]Misao T, Yamamoto Y, Nakano H, Toyooka S, Yamane M, Satoh K: Primary thymic adenocarcinoma with production of carbohydrate antigen 19–9 and carcinoembryonic antigen. JpnJ ThoracCardiovascSurg 2004, 52:30-32.
  • [11]Seki E, Aoyama K, Ueda M, Haga T, Nakazato Y, Iijima M, Kojima M, Tanaka R: Mucinous adenocarcinoma of the thymus: a case report. J Thorac Oncol 2008, 3:935-937.
  • [12]Yoshino M, Hiroshima K, Motohashi S, Shibuya K, Iyoda A, Sekine Y, Fujisawa T: Papillary carcinoma of the thymus gland. Ann Thorac Surg 2005, 80:741-742.
  • [13]Ra SH, Fishbein MC, Baruch-Oren T, Shintaku P, Apple SK, Cameron RB, Lai CK: Mucinous adenocarcinomas of the thymus: report of 2 cases and review of the literature. Am J Surg Pathol 2007, 31:1330-1336.
  • [14]Furtado A, Nogueira R, Ferreira D, Tente D, Eisele R, Parente B: Papillary adenocarcinoma of the thymus: case report and review of the literature. Int J Surg Pathol 2010, 18:530-533.
  • [15]Hosaka Y, Tsuchida M, Umezu H, Eimoto T, Hashimoto T, Shinohara H, Hayashi J: Primary thymic adenocarcinoma coexisting with type AB thymoma: a rare case with long-term survival. Gen Thorac Cardiovasc Surg 2010, 58:488-491.
  • [16]Toshiji I, Mitsuaki S, Tsutomu S, Takashi M, Toshio K, Kazuhisa T: Thymic adenocarcinoma with sarcomatoid features characterized byIntracaval tumor growth: report of a case. Surg Today 2010, 40:1068-1072.
  • [17]Maeda D, Ota S, Ikeda S, Kawano R, Hata E, Nakajima J: Mucinous adenocarcinoma of the thymus: a distinct variant of thymic carcinoma. Lung Cancer 2009, 64:22-27.
  • [18]Ra YJ, Bae MJ, Kim YS, Choi KU: Difficulties in diagnosis and treatment of thymic adenocarcinoma producing β-human chorionic gonadotropin in anterior mediastinum. Interact Cardiovasc Thorac Surg 2010, 11:114-116.
  • [19]Babu MK, Nirmala V: Thymic carcinoma with glandular differentiation arising in a congenital thymiccyst. J Surg Oncol 1994, 57:277-279.
  • [20]Shimono M, Hiraki A, Ueoka H, Tanimoto Y, Aoe M, Sakae K, Kaneda K, Sakugawa M, Kiura K, Harada M: Successful treatment with concurrent chemoradiotherapy followed by surgery for a patient with thymic adenocarcinoma. Anticancer Res 2001, 21:2519-2522.
  • [21]Zaitlin N, Rozenman J, Yellin A: Papillary adenocarcinoma in athymic cyst: a pitfall of thoracoscopic excision. Ann Thorac Surg 2003, 76:1279-1281.
  • [22]Lee GY, Yang WI, Jeung HC, Kim SC, Seo MY, Park CH, Chung HC, Rha SY: Genome-wide genetic aberrations of thymoma using cDNA microarray based comparative genomic hybridization. BMC Genomics 2007, 8:305. BioMed Central Full Text
  • [23]Inoue M, Starostik P, Zettl A, Ströbel P, Schwarz S, Scaravilli F, Henry K, Willcox N, MüllerHermelink H-K, Marx A: Correlating genetic aberrations with world health organization defined histology and stage across the spectrum of thymomas. Cancer Res 2003, 63:3708-3715.
  • [24]Zhou R, Zettl A, Ströbel P, Wagner K, Müller-Hermelink HK, Zhang SSJ, Marx A, Starostik P: Thymic epithelial tumors can develop along two different pathogenetic pathways. Am J Pathol 2001, 159:1853-1860.
  文献评价指标  
  下载次数:12次 浏览次数:30次