Histologic and genomic characterization of a primary mucinous carcinoma of the skin

Aims: Primary skin mucinous carcinoma is a rare sweat gland neoplasm with a high local recurrence rate after conventional excision but a low distant-metastasis rate. The genetic underpinning of skin mucinous carcinoma is presently unknown. Here, we sought to define whether the repertoire of somatic...

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Main Authors: Anastasios D. Papanastasiou, Maria R. De Filippo, Chaido Sirinian, Pier Selenica, Maria Repanti, Jorge S. Reis-Filho, Britta Weigelt
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:EJC Skin Cancer
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772611823000113
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author Anastasios D. Papanastasiou
Maria R. De Filippo
Chaido Sirinian
Pier Selenica
Maria Repanti
Jorge S. Reis-Filho
Britta Weigelt
author_facet Anastasios D. Papanastasiou
Maria R. De Filippo
Chaido Sirinian
Pier Selenica
Maria Repanti
Jorge S. Reis-Filho
Britta Weigelt
author_sort Anastasios D. Papanastasiou
collection DOAJ
description Aims: Primary skin mucinous carcinoma is a rare sweat gland neoplasm with a high local recurrence rate after conventional excision but a low distant-metastasis rate. The genetic underpinning of skin mucinous carcinoma is presently unknown. Here, we sought to define whether the repertoire of somatic mutations of a primary mucinous carcinoma of the skin would be similar to that of mucinous breast carcinomas, given the histologic similarities between these tumor types. Methods and results: The tumor was situated in the dermis and partially involved the subcutaneous fat. Tumor cells were suspended in periodic acid–Schiff diastaseresistant- positive mucin lakes and expressed cytokeratin 7, synaptophysin and estrogen receptor. DNA samples extracted from microdissected tumor and matched normal tissue were subjected to massively parallel sequencing targeting 410 cancer-related genes. The skin mucinous tumor was found to have a low tumor mutation burden, but to harbor a clonal GATA3 frameshift mutation (p.T418Hfs*89) and amplification of FOXA1, genes not uncommonly altered in breast mucinous carcinomas. Conclusions: In this primary skin mucinous carcinoma, GATA3 and FOXA1 driver genetic events were identified, consistent with a possible developmental relationship between skin and breast mucinous neoplasms.
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spelling doaj-art-2f9c821286834d10a19e672f5c365ed22024-11-24T04:14:33ZengElsevierEJC Skin Cancer2772-61182023-01-011100011Histologic and genomic characterization of a primary mucinous carcinoma of the skinAnastasios D. Papanastasiou0Maria R. De Filippo1Chaido Sirinian2Pier Selenica3Maria Repanti4Jorge S. Reis-Filho5Britta Weigelt6Department of Biomedical Sciences, University of West Attica, Athens, Greece; Corresponding author.Department of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USADepartment of Biomedical Sciences, University of West Attica, Athens, GreeceDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USADepartment of Pathology, Patras General Hospital, Patras, GreeceDepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USADepartment of Pathology and Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USAAims: Primary skin mucinous carcinoma is a rare sweat gland neoplasm with a high local recurrence rate after conventional excision but a low distant-metastasis rate. The genetic underpinning of skin mucinous carcinoma is presently unknown. Here, we sought to define whether the repertoire of somatic mutations of a primary mucinous carcinoma of the skin would be similar to that of mucinous breast carcinomas, given the histologic similarities between these tumor types. Methods and results: The tumor was situated in the dermis and partially involved the subcutaneous fat. Tumor cells were suspended in periodic acid–Schiff diastaseresistant- positive mucin lakes and expressed cytokeratin 7, synaptophysin and estrogen receptor. DNA samples extracted from microdissected tumor and matched normal tissue were subjected to massively parallel sequencing targeting 410 cancer-related genes. The skin mucinous tumor was found to have a low tumor mutation burden, but to harbor a clonal GATA3 frameshift mutation (p.T418Hfs*89) and amplification of FOXA1, genes not uncommonly altered in breast mucinous carcinomas. Conclusions: In this primary skin mucinous carcinoma, GATA3 and FOXA1 driver genetic events were identified, consistent with a possible developmental relationship between skin and breast mucinous neoplasms.http://www.sciencedirect.com/science/article/pii/S2772611823000113Primary skin mucinous carcinomaTargeted sequencingImmunohistochemistry
spellingShingle Anastasios D. Papanastasiou
Maria R. De Filippo
Chaido Sirinian
Pier Selenica
Maria Repanti
Jorge S. Reis-Filho
Britta Weigelt
Histologic and genomic characterization of a primary mucinous carcinoma of the skin
EJC Skin Cancer
Primary skin mucinous carcinoma
Targeted sequencing
Immunohistochemistry
title Histologic and genomic characterization of a primary mucinous carcinoma of the skin
title_full Histologic and genomic characterization of a primary mucinous carcinoma of the skin
title_fullStr Histologic and genomic characterization of a primary mucinous carcinoma of the skin
title_full_unstemmed Histologic and genomic characterization of a primary mucinous carcinoma of the skin
title_short Histologic and genomic characterization of a primary mucinous carcinoma of the skin
title_sort histologic and genomic characterization of a primary mucinous carcinoma of the skin
topic Primary skin mucinous carcinoma
Targeted sequencing
Immunohistochemistry
url http://www.sciencedirect.com/science/article/pii/S2772611823000113
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