ACTB::ZMIZ2-rearranged adnexal carcinoma: a second case.

IF 3.1 3区 医学 Q1 PATHOLOGY Virchows Archiv Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI:10.1007/s00428-025-04030-8
Carina Dehner, Daniel Pissaloux, Brice Thamphya, Franck Tirode, Andreas Von Deimling, Ruifeng R Guo, Carilyn Wieland, Arnaud de la Fouchardière, Thibault Kervarrec
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Abstract

A case of cutaneous adnexal neoplasm with unusual squamoid morphology and harboring an in frame ACTB::ZMIZ2 fusion transcript was recently described. Herein, we report a second case of adnexal carcinoma harboring similar morphology and an identical in frame ACTB::ZMIZ2 fusion transcript. This 2.2-cm mass was removed from the axilla of a 17-year-old woman. Microscopic examination revealed a large nodular and infiltrative tumor invading the dermis composed of sheets and nests frequently centered by large areas of keratinization. Molecular investigation revealed an in frame ACTB::ZMIZ2 fusion transcript. Clustering analysis revealed close proximity of this case with the ACTB::ZMIZ2-fused adnexal tumor previously reported. Herein, we report a second case of adnexal tumor with ACTB::ZMIZ2 fusion arising in a young adult suggesting that ACTB::ZMIZ2 fusion might be a defining genetic event, specific of a rare and previously undescribed adnexal tumor entity.

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ACTB: zmiz2重排附件癌1例。
最近报道了一例皮肤附件肿瘤,其异常鳞状形态和框架内含有ACTB::ZMIZ2融合转录物。在此,我们报告了第二例附件癌,具有相似的形态和相同的框架ACTB::ZMIZ2融合转录物。这个2.2厘米的肿块是从一名17岁女子的腋窝中取出的。镜下检查发现一个巨大的结节性浸润性肿瘤侵入真皮,由片状和巢状组成,常以大面积角化为中心。分子分析发现了一个帧内ACTB::ZMIZ2融合转录物。聚类分析显示该病例与先前报道的ACTB:: zmiz2融合的附件肿瘤非常接近。在此,我们报告了一名年轻成人发生的第二例附件肿瘤ACTB::ZMIZ2融合,这表明ACTB::ZMIZ2融合可能是一个决定性的遗传事件,是一种罕见的、以前未描述过的附件肿瘤实体的特异性。
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来源期刊
Virchows Archiv
Virchows Archiv 医学-病理学
CiteScore
7.40
自引率
2.90%
发文量
204
审稿时长
4-8 weeks
期刊介绍: Manuscripts of original studies reinforcing the evidence base of modern diagnostic pathology, using immunocytochemical, molecular and ultrastructural techniques, will be welcomed. In addition, papers on critical evaluation of diagnostic criteria but also broadsheets and guidelines with a solid evidence base will be considered. Consideration will also be given to reports of work in other fields relevant to the understanding of human pathology as well as manuscripts on the application of new methods and techniques in pathology. Submission of purely experimental articles is discouraged but manuscripts on experimental work applicable to diagnostic pathology are welcomed. Biomarker studies are welcomed but need to abide by strict rules (e.g. REMARK) of adequate sample size and relevant marker choice. Single marker studies on limited patient series without validated application will as a rule not be considered. Case reports will only be considered when they provide substantial new information with an impact on understanding disease or diagnostic practice.
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