Pleural mesothelioma classification update
The 2015 WHO classification of pleural mesotheliomas includes three major histologic subtypes—epithelioid, sarcomatoid, and biphasic. Recent genomic data has supported the need for a more granular and clinically valid classification beyond the three current subtypes. Because of tumor rarity and over...
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| Published in | Virchows Archiv : an international journal of pathology Vol. 478; no. 1; pp. 59 - 72 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | English |
| Published |
Berlin/Heidelberg
Springer Berlin Heidelberg
01.01.2021
Springer Nature B.V |
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| Abstract | The 2015 WHO classification of pleural mesotheliomas includes three major histologic subtypes—epithelioid, sarcomatoid, and biphasic. Recent genomic data has supported the need for a more granular and clinically valid classification beyond the three current subtypes. Because of tumor rarity and overlapping histologic features with other tumor types, diagnostic immunohistochemical work up is essential component in establishing the final diagnosis of mesothelioma. The use of BAP1 and
CDKN2A
/MTAP improves the diagnostic sensitivity of effusion specimens and are valuable in establishing the diagnosis of epithelioid mesothelioma. The major change in the forthcoming WHO classification is the inclusion of mesothelioma in situ as a diagnostic category. In this review, we discuss recently proposed changes in the histologic classification of pleural mesothelioma, differential diagnosis, and importance of ancillary diagnostic studies. |
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| AbstractList | The 2015 WHO classification of pleural mesotheliomas includes three major histologic subtypes-epithelioid, sarcomatoid, and biphasic. Recent genomic data has supported the need for a more granular and clinically valid classification beyond the three current subtypes. Because of tumor rarity and overlapping histologic features with other tumor types, diagnostic immunohistochemical work up is essential component in establishing the final diagnosis of mesothelioma. The use of BAP1 and CDKN2A/MTAP improves the diagnostic sensitivity of effusion specimens and are valuable in establishing the diagnosis of epithelioid mesothelioma. The major change in the forthcoming WHO classification is the inclusion of mesothelioma in situ as a diagnostic category. In this review, we discuss recently proposed changes in the histologic classification of pleural mesothelioma, differential diagnosis, and importance of ancillary diagnostic studies. The 2015 WHO classification of pleural mesotheliomas includes three major histologic subtypes—epithelioid, sarcomatoid, and biphasic. Recent genomic data has supported the need for a more granular and clinically valid classification beyond the three current subtypes. Because of tumor rarity and overlapping histologic features with other tumor types, diagnostic immunohistochemical work up is essential component in establishing the final diagnosis of mesothelioma. The use of BAP1 and CDKN2A /MTAP improves the diagnostic sensitivity of effusion specimens and are valuable in establishing the diagnosis of epithelioid mesothelioma. The major change in the forthcoming WHO classification is the inclusion of mesothelioma in situ as a diagnostic category. In this review, we discuss recently proposed changes in the histologic classification of pleural mesothelioma, differential diagnosis, and importance of ancillary diagnostic studies. The 2015 WHO classification of pleural mesotheliomas includes three major histologic subtypes-epithelioid, sarcomatoid, and biphasic. Recent genomic data has supported the need for a more granular and clinically valid classification beyond the three current subtypes. Because of tumor rarity and overlapping histologic features with other tumor types, diagnostic immunohistochemical work up is essential component in establishing the final diagnosis of mesothelioma. The use of BAP1 and CDKN2A/MTAP improves the diagnostic sensitivity of effusion specimens and are valuable in establishing the diagnosis of epithelioid mesothelioma. The major change in the forthcoming WHO classification is the inclusion of mesothelioma in situ as a diagnostic category. In this review, we discuss recently proposed changes in the histologic classification of pleural mesothelioma, differential diagnosis, and importance of ancillary diagnostic studies.The 2015 WHO classification of pleural mesotheliomas includes three major histologic subtypes-epithelioid, sarcomatoid, and biphasic. Recent genomic data has supported the need for a more granular and clinically valid classification beyond the three current subtypes. Because of tumor rarity and overlapping histologic features with other tumor types, diagnostic immunohistochemical work up is essential component in establishing the final diagnosis of mesothelioma. The use of BAP1 and CDKN2A/MTAP improves the diagnostic sensitivity of effusion specimens and are valuable in establishing the diagnosis of epithelioid mesothelioma. The major change in the forthcoming WHO classification is the inclusion of mesothelioma in situ as a diagnostic category. In this review, we discuss recently proposed changes in the histologic classification of pleural mesothelioma, differential diagnosis, and importance of ancillary diagnostic studies. |
| Author | Beasley, Mary Beth Dacic, Sanja Galateau-Salle, Francoise |
| Author_xml | – sequence: 1 givenname: Mary Beth surname: Beasley fullname: Beasley, Mary Beth organization: Department of Pathology, Molecular and Cell-Based Medicine, Icahn School of Medicine at Mount Sinai – sequence: 2 givenname: Francoise surname: Galateau-Salle fullname: Galateau-Salle, Francoise organization: Centre National Référent MESOPATH, Centre Leon Berard – sequence: 3 givenname: Sanja surname: Dacic fullname: Dacic, Sanja email: dacics@upmc.edu organization: Department of Pathology, University of Pittsburgh Medical Center |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33475835$$D View this record in MEDLINE/PubMed |
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42 Galateau Salle, Le Stang, Nicholson, Pissaloux, Churg, Klebe, Roggli, Tazelaar, Vignaud, Attanoos, Beasley, Begueret, Capron, Chirieac, Copin, Dacic, Danel, Foulet-Roge, Gibbs, Giusiano-Courcambeck, Hiroshima, Hofman, Husain, Kerr, Marchevsky, Nabeshima, Picquenot, Rouquette, Sagan, Sauter, Thivolet, Travis, Tsao, Weynand, Damiola, Scherpereel, Pairon, Lantuejoul, Rusch, Girard (CR27) 2018; 13 Fea, Travis, Burke, Marx, Nicholson (CR26) 2015 Butnor, Nicholson, Allred, Zander, Henderson, Barrios, Haque, Allen, Killen, Cagle (CR12) 2006; 130 Chevrier, Monaco, Jerome, Galateau-Salle, Churg, Dacic (CR14) 2020; 128 Galateau Salle, Le Stang, Tirode, Courtiol, Nicholson, Tsao, Tazelaar, Churg, Dacic, Roggli, Pissaloux, Maussion, Moarii, Beasley, Begueret, Chapel, Copin, Gibbs, Klebe, Lantuejoul, Nabeshima, Vignaud, Attanoos, Brcic, Capron, Chirieac, Damiola, Sequeiros, Cazes, Damotte, Foulet, Giusiano-Courcambeck, Hiroshima, Hofman, Husain, Kerr, Marchevsky, Paindavoine, Picquenot, Rouquette, Sagan, Sauter, Thivolet, Brevet, Rouvier, Travis, Planchard, Weynand, Clozel, Wainrib, Fernandez-Cuesta, Pairon, Rusch, Girard (CR28) 2020; 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91 Sterrett, Whitaker, Shilkin, Walters (CR70) 1987; 31 Chiosea, Krasinskas, Cagle, Mitchell, Zander, Dacic (CR15) 2008; 21 Kadota, Suzuki, Sima, Rusch, Adusumilli, Travis (CR37) 2011; 6 Wilkinson, Coucher, Murphy, Joubert, Cooper (CR74) 2018; 50 FS Alchami (3031_CR2) 2017; 70 A Churg (3031_CR21) 2020; 33 T Hida (3031_CR34) 2017; 104 RL Attanoos (3031_CR5) 2018; 142 M Chevrier (3031_CR14) 2020; 128 K Minami (3031_CR55) 2020; 476 MS Ahadi (3031_CR1) 2019; 43 Q Arif (3031_CR4) 2015; 139 F Galateau Salle (3031_CR27) 2018; 13 Y Kinoshita (3031_CR44) 2018; 126 KB Berg (3031_CR6) 2017; 41 L Righi (3031_CR66) 2016; 11 S Bonk (3031_CR10) 2019; 10 A Bilecz (3031_CR9) 2020; 77 Churg A, Cagle P, Colby TV, Corson JM, Gibbs AR, Hammar S, Ordonez N, Roggli VL, Tazelaar HD, Travis WD, Wick M, Panel US-CMR (3031_CR17) 2011; 35 G-S Fea (3031_CR26) 2015 DW Henderson (3031_CR33) 1998; 110 N Le Stang (3031_CR47) 2020; 144 A Mogi (3031_CR56) 2009; 59 KJ Butnor (3031_CR12) 2006; 130 NA Maskell (3031_CR49) 2003; 361 GF Sterrett (3031_CR70) 1987; 31 YZ Zhang (3031_CR75) 2020; 44 EM Karavitakis (3031_CR39) 2007; 49 E Laurent (3031_CR46) 2019; 43 RR Meyerhoff (3031_CR53) 2015; 196 AE Walts (3031_CR72) 2016; 44 M Cigognetti (3031_CR22) 2015; 28 DW Henderson (3031_CR32) 1988; 12 M Miettinen (3031_CR54) 2014; 38 GH Tozbikian (3031_CR71) 2019; 85 D Whitaker (3031_CR73) 1992; 9 NG Ordonez (3031_CR59) 2006; 19 KB Berg (3031_CR8) 2020; 128 A Churg (3031_CR18) 2012; 136 R Pillappa (3031_CR64) 2018; 42 N Rekhtman (3031_CR65) 2020; 15 L Brcic (3031_CR11) 2018; 142 LS Chung (3031_CR16) 2010; 1 Galateau-Salle F, Churg A, Roggli V, Travis WD, World Health Organization Committee for Tumors of the P (3031_CR29) 2016; 11 SM Knoepp (3031_CR45) 2013; 41 NG Ordonez (3031_CR62) 2014; 45 G Pelosi (3031_CR63) 2018; 13 NG Ordonez (3031_CR61) 2012; 25 K Kadota (3031_CR37) 2011; 6 F Galateau-Salle (3031_CR30) 2007; 31 F Galateau Salle (3031_CR28) 2020; 15 HL Kindler (3031_CR42) 2018; 36 N Kimura (3031_CR41) 2018; 68 M Metintas (3031_CR52) 2016; 91 A Churg (3031_CR19) 2000; 24 AN Husain (3031_CR35) 2018; 142 A Churg (3031_CR20) 2018; 72 SM McGregor (3031_CR51) 2015; 46 NG Ordonez (3031_CR60) 2012; 25 DB Chapel (3031_CR13) 2017; 41 LE Rosen (3031_CR67) 2018; 31 JL Sauter (3031_CR68) 2017; 30 S Matsumoto (3031_CR50) 2013; 121 K Kadota (3031_CR38) 2012; 25 I Cozzi (3031_CR23) 2018; 46 AS Mansfield (3031_CR48) 2014; 86 AG Nicholson (3031_CR58) 2020; 15 KB Berg (3031_CR7) 2018; 142 S Chiosea (3031_CR15) 2008; 21 HS Khalidi (3031_CR40) 2000; 113 HC Hwang (3031_CR36) 2016; 40 J Andrici (3031_CR3) 2015; 28 B Davidson (3031_CR25) 2018; 79 Y Kinoshita (3031_CR43) 2018; 125 L Wilkinson (3031_CR74) 2018; 50 BS Sheffield (3031_CR69) 2015; 39 MC Garrido-Ruiz (3031_CR31) 2010; 37 S Dacic (3031_CR24) 2020; 33 S Monaco (3031_CR57) 2018; 25 |
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| SubjectTerms | Annual review issues from Virchows Archiv Biomarkers, Tumor - metabolism Classification Cyclin-Dependent Kinase Inhibitor p16 - metabolism Diagnosis Diagnosis, Differential Diagnostic systems Differential diagnosis Effusion Genomics Humans Immunohistochemistry Medicine Medicine & Public Health Mesothelioma Mesothelioma, Malignant - diagnosis Mesothelioma, Malignant - metabolism Mesothelioma, Malignant - pathology Pathology Pleural Neoplasms - diagnosis Pleural Neoplasms - metabolism Pleural Neoplasms - pathology Review and Perspectives Tumor Suppressor Proteins - metabolism Tumors Ubiquitin Thiolesterase - metabolism |
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