Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping

Histopathologic techniques are insufficient for distinguishing primary squamous cell carcinoma (SCC) from metastatic SCC, which is clinically important. A patient with SCC of the anus was found to also have SCC of the lung, and the question of metastatic versus synchronous primary diseases was raise...

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Main Authors: Rachel Roth, Susan Moffatt-Bruce, Marino E. Leon
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2014/608521
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author Rachel Roth
Susan Moffatt-Bruce
Marino E. Leon
author_facet Rachel Roth
Susan Moffatt-Bruce
Marino E. Leon
author_sort Rachel Roth
collection DOAJ
description Histopathologic techniques are insufficient for distinguishing primary squamous cell carcinoma (SCC) from metastatic SCC, which is clinically important. A patient with SCC of the anus was found to also have SCC of the lung, and the question of metastatic versus synchronous primary diseases was raised. Immunohistochemical and hematoxylin and eosin (H&E) staining on sections of tissue could not discriminate between the two entities. Immunostain for p16 and chromogenic in situ hybridization for human papillomavirus (HPV) type 16 were positive in both tumors. Additionally, allelotyping for loss of heterozygosity displayed similar findings and confirmed the histopathological impression of anal SCC metastasis to the lung. The patient was treated with palliative chemotherapy instead of additional surgical treatment. When multiple tumors are present, determining metastatic versus synchronous primary tumors is necessary for appropriate treatment. Identification can be achieved using allelotyping for loss of heterozygosity.
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series Case Reports in Pathology
spelling doaj-art-9f15218cb7bf48a49ff52ccbc5334c042025-02-03T05:46:12ZengWileyCase Reports in Pathology2090-67812090-679X2014-01-01201410.1155/2014/608521608521Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with AllelotypingRachel Roth0Susan Moffatt-Bruce1Marino E. Leon2Department of Pathology, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH 43210, USADivision of Thoracic Surgery, The Ohio State University Wexner Medical Center, 410 West 10th Avenue, Columbus, OH 43210, USAHead and Neck Pathology and Cytopathology, Department of Anatomic Pathology, H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa, FL 33612, USAHistopathologic techniques are insufficient for distinguishing primary squamous cell carcinoma (SCC) from metastatic SCC, which is clinically important. A patient with SCC of the anus was found to also have SCC of the lung, and the question of metastatic versus synchronous primary diseases was raised. Immunohistochemical and hematoxylin and eosin (H&E) staining on sections of tissue could not discriminate between the two entities. Immunostain for p16 and chromogenic in situ hybridization for human papillomavirus (HPV) type 16 were positive in both tumors. Additionally, allelotyping for loss of heterozygosity displayed similar findings and confirmed the histopathological impression of anal SCC metastasis to the lung. The patient was treated with palliative chemotherapy instead of additional surgical treatment. When multiple tumors are present, determining metastatic versus synchronous primary tumors is necessary for appropriate treatment. Identification can be achieved using allelotyping for loss of heterozygosity.http://dx.doi.org/10.1155/2014/608521
spellingShingle Rachel Roth
Susan Moffatt-Bruce
Marino E. Leon
Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping
Case Reports in Pathology
title Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping
title_full Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping
title_fullStr Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping
title_full_unstemmed Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping
title_short Metastatic Squamous Cell Carcinoma of the Anus to the Lung Confirmed with Allelotyping
title_sort metastatic squamous cell carcinoma of the anus to the lung confirmed with allelotyping
url http://dx.doi.org/10.1155/2014/608521
work_keys_str_mv AT rachelroth metastaticsquamouscellcarcinomaoftheanustothelungconfirmedwithallelotyping
AT susanmoffattbruce metastaticsquamouscellcarcinomaoftheanustothelungconfirmedwithallelotyping
AT marinoeleon metastaticsquamouscellcarcinomaoftheanustothelungconfirmedwithallelotyping