Sinonasal renal cell–like adenocarcinomas: robust carbonic anhydrase expression

Summary We report 3 new patients with sinonasal renal cell–like adenocarcinoma (SNRCLA). One case submitted in consultation demonstrated robust carbonic anhydrase IX (CA-IX) expression, leading us to a broader inquiry of CA-IX and carbonic anhydrase II (CA-II) expression in other SNRCLA, Schneideria...

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Veröffentlicht in:Human pathology 2015-11, Vol.46 (11), p.1598-1606
Hauptverfasser: Shen, Tiansheng, MD, PhD, Shi, Qiuying, MD, Velosa, Claudia, MD, Bai, Shuting, MD, PhD, Thompson, Lester, MD, Simpson, Roderick, MD, Wei, Shi, MD, PhD, Brandwein-Gensler, Margaret, MD
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container_end_page 1606
container_issue 11
container_start_page 1598
container_title Human pathology
container_volume 46
creator Shen, Tiansheng, MD, PhD
Shi, Qiuying, MD
Velosa, Claudia, MD
Bai, Shuting, MD, PhD
Thompson, Lester, MD
Simpson, Roderick, MD
Wei, Shi, MD, PhD
Brandwein-Gensler, Margaret, MD
description Summary We report 3 new patients with sinonasal renal cell–like adenocarcinoma (SNRCLA). One case submitted in consultation demonstrated robust carbonic anhydrase IX (CA-IX) expression, leading us to a broader inquiry of CA-IX and carbonic anhydrase II (CA-II) expression in other SNRCLA, Schneiderian tissues, and histologic mimickers. Robust cytoplasmic and membranous CA-IX expression is demonstrated in 6 of 7 SNRCLAs; CA-II expression was demonstrated in 2 of 5 cases. Robust, diffuse CA-II expression is demonstrated throughout sinonasal seromucinous glands in all 10 normal Schneiderian samples. CA-IX is also expressed in all normal sinonasal samples, albeit focally. The closest salivary mimic to SNRCLA is hyalinizing salivary clear cell carcinoma; only focal CA-IX expression was demonstrated in 1 of 2 cases studied. Carbonic anhydrase expression in Schneiderian tissue speaks to its role in regulating the ion concentration of sinonasal secretions and may also explain the origin of this rare tumor.
doi_str_mv 10.1016/j.humpath.2015.06.017
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One case submitted in consultation demonstrated robust carbonic anhydrase IX (CA-IX) expression, leading us to a broader inquiry of CA-IX and carbonic anhydrase II (CA-II) expression in other SNRCLA, Schneiderian tissues, and histologic mimickers. Robust cytoplasmic and membranous CA-IX expression is demonstrated in 6 of 7 SNRCLAs; CA-II expression was demonstrated in 2 of 5 cases. Robust, diffuse CA-II expression is demonstrated throughout sinonasal seromucinous glands in all 10 normal Schneiderian samples. CA-IX is also expressed in all normal sinonasal samples, albeit focally. The closest salivary mimic to SNRCLA is hyalinizing salivary clear cell carcinoma; only focal CA-IX expression was demonstrated in 1 of 2 cases studied. Carbonic anhydrase expression in Schneiderian tissue speaks to its role in regulating the ion concentration of sinonasal secretions and may also explain the origin of this rare tumor.</description><identifier>ISSN: 0046-8177</identifier><identifier>EISSN: 1532-8392</identifier><identifier>DOI: 10.1016/j.humpath.2015.06.017</identifier><identifier>PMID: 26299508</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adenocarcinoma ; Aged ; Aged, 80 and over ; Antigens ; Carbonic anhydrase ; Carbonic Anhydrases - metabolism ; Carcinoma, Renal Cell - metabolism ; Carcinoma, Renal Cell - pathology ; Carcinoma, Renal Cell - surgery ; Cytoplasm ; Female ; Humans ; Hypoxia ; Male ; Metastasis ; Middle Aged ; Nose Neoplasms - metabolism ; Nose Neoplasms - pathology ; Nose Neoplasms - surgery ; Pathology ; Renal cell ; Renal cell–like ; Sinonasal ; Tumors</subject><ispartof>Human pathology, 2015-11, Vol.46 (11), p.1598-1606</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. 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One case submitted in consultation demonstrated robust carbonic anhydrase IX (CA-IX) expression, leading us to a broader inquiry of CA-IX and carbonic anhydrase II (CA-II) expression in other SNRCLA, Schneiderian tissues, and histologic mimickers. Robust cytoplasmic and membranous CA-IX expression is demonstrated in 6 of 7 SNRCLAs; CA-II expression was demonstrated in 2 of 5 cases. Robust, diffuse CA-II expression is demonstrated throughout sinonasal seromucinous glands in all 10 normal Schneiderian samples. CA-IX is also expressed in all normal sinonasal samples, albeit focally. The closest salivary mimic to SNRCLA is hyalinizing salivary clear cell carcinoma; only focal CA-IX expression was demonstrated in 1 of 2 cases studied. Carbonic anhydrase expression in Schneiderian tissue speaks to its role in regulating the ion concentration of sinonasal secretions and may also explain the origin of this rare tumor.</description><subject>Adenocarcinoma</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antigens</subject><subject>Carbonic anhydrase</subject><subject>Carbonic Anhydrases - metabolism</subject><subject>Carcinoma, Renal Cell - metabolism</subject><subject>Carcinoma, Renal Cell - pathology</subject><subject>Carcinoma, Renal Cell - surgery</subject><subject>Cytoplasm</subject><subject>Female</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Male</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Nose Neoplasms - metabolism</subject><subject>Nose Neoplasms - pathology</subject><subject>Nose Neoplasms - surgery</subject><subject>Pathology</subject><subject>Renal cell</subject><subject>Renal cell–like</subject><subject>Sinonasal</subject><subject>Tumors</subject><issn>0046-8177</issn><issn>1532-8392</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc-KFDEQhxtR3NnVR1AavHjptpJ0km4PiizrH1gQWT2HmqSGyWx3Z0y6xbn5Dr6hT2KaGRX24iWB4qtfUl8VxRMGNQOmXuzq7TzscdrWHJisQdXA9L1ixaTgVSs6fr9YATSqapnWZ8V5SjsAxmQjHxZnXPGuk9Cuik83fgwjJuzLSGM-LfX9rx8_e39LJToag8VoMzNgelnGsJ7TVObSOozeljhuDy5iopK-7yOl5MP4qHiwwT7R49N9UXx5e_X58n11_fHdh8s315WVrJ0qcp1lrhUSUeQCcgatAi0VOO3spmu0kISWS1TaOWZhgxqUFtxhS2KN4qJ4fszdx_B1pjSZwafl9zhSmJNhWiildduIjD67g-7CHPO0C8VbxbRqZKbkkbIxpBRpY_bRDxgPhoFZnJudOTk3i3MDymTnue_pKX1eD-T-dv2RnIHXR4Cyjm-eoknW02jJ-Uh2Mi74_z7x6k6C7X1eAPa3dKD0bxqTuAFzsyx-2TuTAFxoIX4D4tyrbA</recordid><startdate>20151101</startdate><enddate>20151101</enddate><creator>Shen, Tiansheng, MD, PhD</creator><creator>Shi, Qiuying, MD</creator><creator>Velosa, Claudia, MD</creator><creator>Bai, Shuting, MD, PhD</creator><creator>Thompson, Lester, MD</creator><creator>Simpson, Roderick, MD</creator><creator>Wei, Shi, MD, PhD</creator><creator>Brandwein-Gensler, Margaret, MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9312-2036</orcidid></search><sort><creationdate>20151101</creationdate><title>Sinonasal renal cell–like adenocarcinomas: robust carbonic anhydrase expression</title><author>Shen, Tiansheng, MD, PhD ; Shi, Qiuying, MD ; Velosa, Claudia, MD ; Bai, Shuting, MD, PhD ; Thompson, Lester, MD ; Simpson, Roderick, MD ; Wei, Shi, MD, PhD ; Brandwein-Gensler, Margaret, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c518t-ed9c1d835aa3518a2108607560d7dcf94735eac25a67dd1c0fa706732da8e3ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adenocarcinoma</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antigens</topic><topic>Carbonic anhydrase</topic><topic>Carbonic Anhydrases - metabolism</topic><topic>Carcinoma, Renal Cell - metabolism</topic><topic>Carcinoma, Renal Cell - pathology</topic><topic>Carcinoma, Renal Cell - surgery</topic><topic>Cytoplasm</topic><topic>Female</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>Male</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Nose Neoplasms - metabolism</topic><topic>Nose Neoplasms - pathology</topic><topic>Nose Neoplasms - surgery</topic><topic>Pathology</topic><topic>Renal cell</topic><topic>Renal cell–like</topic><topic>Sinonasal</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shen, Tiansheng, MD, PhD</creatorcontrib><creatorcontrib>Shi, Qiuying, MD</creatorcontrib><creatorcontrib>Velosa, Claudia, MD</creatorcontrib><creatorcontrib>Bai, Shuting, MD, PhD</creatorcontrib><creatorcontrib>Thompson, Lester, MD</creatorcontrib><creatorcontrib>Simpson, Roderick, MD</creatorcontrib><creatorcontrib>Wei, Shi, MD, PhD</creatorcontrib><creatorcontrib>Brandwein-Gensler, Margaret, MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Human pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shen, Tiansheng, MD, PhD</au><au>Shi, Qiuying, MD</au><au>Velosa, Claudia, MD</au><au>Bai, Shuting, MD, PhD</au><au>Thompson, Lester, MD</au><au>Simpson, Roderick, MD</au><au>Wei, Shi, MD, PhD</au><au>Brandwein-Gensler, Margaret, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sinonasal renal cell–like adenocarcinomas: robust carbonic anhydrase expression</atitle><jtitle>Human pathology</jtitle><addtitle>Hum Pathol</addtitle><date>2015-11-01</date><risdate>2015</risdate><volume>46</volume><issue>11</issue><spage>1598</spage><epage>1606</epage><pages>1598-1606</pages><issn>0046-8177</issn><eissn>1532-8392</eissn><abstract>Summary We report 3 new patients with sinonasal renal cell–like adenocarcinoma (SNRCLA). One case submitted in consultation demonstrated robust carbonic anhydrase IX (CA-IX) expression, leading us to a broader inquiry of CA-IX and carbonic anhydrase II (CA-II) expression in other SNRCLA, Schneiderian tissues, and histologic mimickers. Robust cytoplasmic and membranous CA-IX expression is demonstrated in 6 of 7 SNRCLAs; CA-II expression was demonstrated in 2 of 5 cases. Robust, diffuse CA-II expression is demonstrated throughout sinonasal seromucinous glands in all 10 normal Schneiderian samples. CA-IX is also expressed in all normal sinonasal samples, albeit focally. The closest salivary mimic to SNRCLA is hyalinizing salivary clear cell carcinoma; only focal CA-IX expression was demonstrated in 1 of 2 cases studied. Carbonic anhydrase expression in Schneiderian tissue speaks to its role in regulating the ion concentration of sinonasal secretions and may also explain the origin of this rare tumor.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26299508</pmid><doi>10.1016/j.humpath.2015.06.017</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9312-2036</orcidid></addata></record>
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subjects Adenocarcinoma
Aged
Aged, 80 and over
Antigens
Carbonic anhydrase
Carbonic Anhydrases - metabolism
Carcinoma, Renal Cell - metabolism
Carcinoma, Renal Cell - pathology
Carcinoma, Renal Cell - surgery
Cytoplasm
Female
Humans
Hypoxia
Male
Metastasis
Middle Aged
Nose Neoplasms - metabolism
Nose Neoplasms - pathology
Nose Neoplasms - surgery
Pathology
Renal cell
Renal cell–like
Sinonasal
Tumors
title Sinonasal renal cell–like adenocarcinomas: robust carbonic anhydrase expression
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