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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Pathology Internatio...arrow_drop_down
image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
Pathology International
Article . 2019 . Peer-reviewed
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Mucinous lung adenocarcinoma, particularly referring to EGFR‐mutated mucinous adenocarcinoma

Authors: Kenichi Okubo; Hironori Ninomiya; Mingyon Mun; Ryo Wakejima; Ryo Wakejima; Hiroko Nagano; Sakae Okumura; +3 Authors

Mucinous lung adenocarcinoma, particularly referring to EGFR‐mutated mucinous adenocarcinoma

Abstract

The current 2015 World Health Organization (WHO) classification of lung tumors does not adequately categorize mucinous lung adenocarcinoma. Thus far, only two variants of mucinous adenocarcinoma have been studied: invasive mucinous adenocarcinoma and colloid adenocarcinoma. Moreover, common types of invasive adenocarcinoma when they produce mucin are yet to be elucidated, particularly epidermal growth factor receptor (EGFR)‐mutated mucinous adenocarcinoma. In this study, we extracted mucinous adenocarcinoma of both the common types and the two variants. Further, we immunohistochemically and molecular‐biologically examined their clinicopathological characteristics, mutation patterns, and expressions of thyroid transcription factor‐1 (TTF‐1), hepatocyte nuclear factor‐4 alpha (HNF‐4a) and mucins, particularly referring to EGFR‐mutated adenocarcinoma. Among 1159 surgically resected invasive adenocarcinomas, 189 mucinous adenocarcinomas (16%) were identified. Among these, 20%, 34% and 9.5% were EGFR mutated, KRAS mutated and ALK rearranged, respectively. Compared with EGFR‐mutated nonmucinous adenocarcinoma, EGFR‐mutated mucinous adenocarcinoma had no female predominance, lower grades of histological differentiation and lower TTF‐1 and higher HNF‐4a expressions. Moreover, for the first time, we indicated that mucin production was an independent prognostic factor for EGFR‐mutated adenocarcinomas and the mucin‐staining pattern of negative MUC5AC and positive MUC5B was characteristic in these adenocarcinomas. We suggest that EGFR‐mutated mucinous adenocarcinoma has a different tumorigenic pathway than nonmucinous EGFR‐mutated adenocarcinoma.

Keywords

ErbB Receptors, Male, Lung Neoplasms, Mutation, Humans, Adenocarcinoma of Lung, Female, Middle Aged, Adenocarcinoma, Mucinous, Aged

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    13
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    influence
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Top 10%
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