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Spindle cell carcinoma of the lip: An immunohistochemical study of a challenging case

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Author(s):
Scarini, Joao Figurira ; Almeida Mariz, Bruno Augesto Linhares ; de Lima-Souza, Reydson Alcides ; Lavareze, Luccas ; Emerick, Carolina ; Tincani, Alfio Jose ; Abu Egal, Erika Said ; Altemani, Albina ; Mariano, Fernanda Vivane
Total Authors: 9
Document type: Journal article
Source: Oral Oncology; v. 125, p. 3-pg., 2022-02-01.
Abstract

Introduction: Spindle cell carcinoma (SpCC) or sarcomatoid carcinoma, is a rare variant of squamous cell carcinoma (SCC) that has a variable proportion of carcinomatous and sarcomatous components. Here, we reported an immunohistochemical study of a spindle cell carcinoma with a challenging morphological diagnosis. Case report: A 50-year-old woman with a previous history of nodular melanoma was referred for evaluation of a painful papule in the lower lip. After surgical resection, neoplastic cells showed focal positivity for CK-14, alpha SMA, p63, and confirmed the strong positivity for S100 and vimentin. Tumor cells were negative for HMB-45, Melan A, SOX-10, AE1/AE3, 34 beta E12, CK5-6, CAM5.2, EMA, desmin, calponin, CD10, CD34, and CD68. With these findings, a diagnosis of SpCC was rendered. The patient presented lung and dorsal metastases after 12 months and after 3 years of follow-up, the patient died.Conclusion: In summary, a careful correlation of microscopy and immunohistochemical characteristics is required for the proper diagnosis of this lesion. (AU)

FAPESP's process: 19/06809-2 - Analysis of mass spectrometry in the malignant transformation of the pleomorphic adenoma. correlation of data with gene expression and exome
Grantee:Reydson Alcides de Lima Souza
Support Opportunities: Scholarships in Brazil - Master
FAPESP's process: 15/07304-0 - Study of genetic and metabolic changes of pleomorphic adenoma and carcinoma ex pleomorphic adenoma by exome, gene expression and immunohistochemistry
Grantee:Fernanda Viviane Mariano Brum Corrêa
Support Opportunities: Research Grants - Young Investigators Grants
FAPESP's process: 19/09419-0 - Genomic alterations in the malignant transformation of the Pleomorphic Adenoma
Grantee:João Figueira Scarini
Support Opportunities: Scholarships in Brazil - Doctorate
FAPESP's process: 18/24715-2 - FGF-2, FGFR-1, PI3K, Akt and COX-2 expression in Oral Leucoplakia, primary and metastatic Oral Squamous Cell Carcinoma
Grantee:Bruno Augusto Linhares Almeida Mariz
Support Opportunities: Scholarships in Brazil - Doctorate