ALK/EML4 fusion gene may be found in pure squamous carcinoma of the lung.

TitleALK/EML4 fusion gene may be found in pure squamous carcinoma of the lung.
Publication TypeJournal Article
Year of Publication2014
AuthorsCaliò A, Nottegar A, Gilioli E, Bria E, Pilotto S, Peretti U, Kinspergher S, Simionato F, Pedron S, Knuutila S, Tortora G, Eccher A, Santo A, Tondulli L, Inghirami G, Tabbo F, Martignoni G, Chilosi M, Scarpa A, Brunelli M
JournalJ Thorac Oncol
Volume9
Issue5
Pagination729-32
Date Published2014 May
ISSN1556-1380
KeywordsAged, Aspartic Acid Endopeptidases, Carcinoma, Squamous Cell, Female, Humans, In Situ Hybridization, Fluorescence, Keratin-5, Keratin-6, Keratin-7, Lung Neoplasms, Male, Middle Aged, Nuclear Proteins, Oncogene Proteins, Fusion, SOXB1 Transcription Factors, Thyroid Nuclear Factor 1, Transcription Factors, Tumor Suppressor Proteins
Abstract

INTRODUCTION: The report of cases of lung squamous cell cancers harboring anaplastic lymphoma kinase (ALK) gene rearrangements raises the question whether this histologic subtype should be also evaluated for such molecular predictive test.

METHODS: A consecutive series of 40 lung pure squamous cell carcinomas were analyzed for ALK gene status by fluorescence in situ hybridization. Squamous differentiation was validated using an immunohistochemical panel including n-p63 (p40), cytokeratin (CK) 5/6, sex-determining region Y (SRY)-Box2 (SOX2), thyroid transcription factor 1, CK7, and Napsin-A.

RESULTS: Squamous differentiation was confirmed in all tumors as they stained positive for n-p63 and CK5/6 and negative for thyroid transcription factor 1 and Napsin-A. One of 40 cases (2.5%) showed an ALK rearrangement on fluorescence in situ hybridization analysis.

CONCLUSIONS: ALK translocation may be found in lung pure squamous cell carcinomas. Our data suggest the opportunity to test ALK rearrangements on biopsy samples harboring squamous cell cancer differentiation.

DOI10.1097/JTO.0000000000000109
Alternate JournalJ Thorac Oncol
PubMed ID24722159
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Giorgio Inghirami, M.D.

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