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Published in: BMC Clinical Pathology 1/2013

Open Access 01-12-2013 | Case report

Primary adenocarcinoma of the thymus: an immunohistochemical and molecular study with review of the literature

Authors: Maryam Maghbool, Mani Ramzi, Inga Nagel, Pablo Bejarano, Reiner Siebert, Abolfazl Saeedzadeh, Yahya Daneshbod

Published in: BMC Clinical Pathology | Issue 1/2013

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Abstract

Background

Primary adenocarcinoma of thymus is extremely rare.

Case presentation

This is a case of primary adenocarcinoma with intestinal differentiation and focal mucin production in the thymus. Thymic cyst was associated with this tumor. Intestinal differentiation was confirmed by immunohistochemical stain with positivity for CDX-2, CK20, villin, MOC31 and focal positivity of CK7. Array comperative genomic hybridization (CGH) analysis showed a complex pattern of chromosomal imbalances including homozygous deletion at the HLA locus in chromosomal region 6p21.32.

Conclusion

This rare tumor shows a similar genetic aberration with other studied thymic epithelial tumors.
Appendix
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Literature
1.
go back to reference Takahashi F, Tsuta K, Matsuno Y, Takahashi K, Toba M, Sato K, Uekusa T, Izumi H, Nakamura K, Hirose S, Fukuchi Y: Adenocarcinoma of the thymus:mucinous subtype. Hum Pathol. 2005, 36: 219-223. 10.1016/j.humpath.2004.11.008.CrossRefPubMed Takahashi F, Tsuta K, Matsuno Y, Takahashi K, Toba M, Sato K, Uekusa T, Izumi H, Nakamura K, Hirose S, Fukuchi Y: Adenocarcinoma of the thymus:mucinous subtype. Hum Pathol. 2005, 36: 219-223. 10.1016/j.humpath.2004.11.008.CrossRefPubMed
2.
go back to reference Moriyama S, Shimizu N, Kurita A, Teramoto S, Taguchi K: A case of adenocarcinoma of the thymus. Nihon KyobuGekaGakkaiZasshi. 1989, 37: 717-722. Moriyama S, Shimizu N, Kurita A, Teramoto S, Taguchi K: A case of adenocarcinoma of the thymus. Nihon KyobuGekaGakkaiZasshi. 1989, 37: 717-722.
3.
go back to reference Shimosato Y, Mukai K: Tumors of the mediastinum. Atlas of tumor pathology, third series, fascicle 21. 1997, Washington, DC: Armed Forces Institute of Pathology, 120-158. Shimosato Y, Mukai K: Tumors of the mediastinum. Atlas of tumor pathology, third series, fascicle 21. 1997, Washington, DC: Armed Forces Institute of Pathology, 120-158.
4.
go back to reference Kapur P, Rakheja D, Bastasch M, Molberg KH, Sarode VR: Primary mucinous adenocarcinoma of the thymus: a case report and review of the literature. Arch Pathol Lab Med. 2006, 130: 201-204.PubMed Kapur P, Rakheja D, Bastasch M, Molberg KH, Sarode VR: Primary mucinous adenocarcinoma of the thymus: a case report and review of the literature. Arch Pathol Lab Med. 2006, 130: 201-204.PubMed
5.
go back to reference Matsuno Y, Morozumi N, Hirohashi S, Shimosato Y, Rosai J: Papillary carcinoma of the thymus: report of four cases of a new microscopic type of thymic carcinoma. Am J SurgPathol. 1998, 22: 873-880.CrossRef Matsuno Y, Morozumi N, Hirohashi S, Shimosato Y, Rosai J: Papillary carcinoma of the thymus: report of four cases of a new microscopic type of thymic carcinoma. Am J SurgPathol. 1998, 22: 873-880.CrossRef
6.
go back to reference Makino Y, Asada M, Suzuki T, Hashimoto M: A case of adenocarcinoma of the thymus. Jpn J Thorac Cardiovasc Surg. 1998, 46: 1168-1171. 10.1007/BF03217895.CrossRefPubMed Makino Y, Asada M, Suzuki T, Hashimoto M: A case of adenocarcinoma of the thymus. Jpn J Thorac Cardiovasc Surg. 1998, 46: 1168-1171. 10.1007/BF03217895.CrossRefPubMed
7.
go back to reference Choi WW, Lui YH, Lau WH, Crowley P, Khan A, Chan JK: Adenocarcinoma of the thymus: report of two cases, including a previously undescribed mucinous subtype. Am J Surg Pathol. 2003, 27: 124-130. 10.1097/00000478-200301000-00014.CrossRefPubMed Choi WW, Lui YH, Lau WH, Crowley P, Khan A, Chan JK: Adenocarcinoma of the thymus: report of two cases, including a previously undescribed mucinous subtype. Am J Surg Pathol. 2003, 27: 124-130. 10.1097/00000478-200301000-00014.CrossRefPubMed
8.
go back to reference Shimosato Y, Mukai K: Tumors of the mediastinum. Atlas of tumor pathology, forth series, fascicle 11. 2010, American Registry of Pathology: Washington, DC Shimosato Y, Mukai K: Tumors of the mediastinum. Atlas of tumor pathology, forth series, fascicle 11. 2010, American Registry of Pathology: Washington, DC
9.
go back to reference Sawai T, Inoue Y, Doi S, Ikuta Y, Kimino K, Nakashima M, Soda H, Kohno S: Tubular adenocarcinoma of the thymus: case report and review of the Literature. Int J Surg Pathol. 2006, 14: 243-246. 10.1177/1066896906290364.CrossRefPubMed Sawai T, Inoue Y, Doi S, Ikuta Y, Kimino K, Nakashima M, Soda H, Kohno S: Tubular adenocarcinoma of the thymus: case report and review of the Literature. Int J Surg Pathol. 2006, 14: 243-246. 10.1177/1066896906290364.CrossRefPubMed
10.
go back to reference Misao T, Yamamoto Y, Nakano H, Toyooka S, Yamane M, Satoh K: Primary thymic adenocarcinoma with production of carbohydrate antigen 19–9 and carcinoembryonic antigen. JpnJ ThoracCardiovascSurg. 2004, 52: 30-32. Misao T, Yamamoto Y, Nakano H, Toyooka S, Yamane M, Satoh K: Primary thymic adenocarcinoma with production of carbohydrate antigen 19–9 and carcinoembryonic antigen. JpnJ ThoracCardiovascSurg. 2004, 52: 30-32.
11.
go back to reference Seki E, Aoyama K, Ueda M, Haga T, Nakazato Y, Iijima M, Kojima M, Tanaka R: Mucinous adenocarcinoma of the thymus: a case report. J Thorac Oncol. 2008, 3: 935-937. 10.1097/JTO.0b013e3181803eee.CrossRefPubMed Seki E, Aoyama K, Ueda M, Haga T, Nakazato Y, Iijima M, Kojima M, Tanaka R: Mucinous adenocarcinoma of the thymus: a case report. J Thorac Oncol. 2008, 3: 935-937. 10.1097/JTO.0b013e3181803eee.CrossRefPubMed
12.
go back to reference Yoshino M, Hiroshima K, Motohashi S, Shibuya K, Iyoda A, Sekine Y, Fujisawa T: Papillary carcinoma of the thymus gland. Ann Thorac Surg. 2005, 80: 741-742. 10.1016/j.athoracsur.2004.02.018.CrossRefPubMed Yoshino M, Hiroshima K, Motohashi S, Shibuya K, Iyoda A, Sekine Y, Fujisawa T: Papillary carcinoma of the thymus gland. Ann Thorac Surg. 2005, 80: 741-742. 10.1016/j.athoracsur.2004.02.018.CrossRefPubMed
13.
go back to reference Ra SH, Fishbein MC, Baruch-Oren T, Shintaku P, Apple SK, Cameron RB, Lai CK: Mucinous adenocarcinomas of the thymus: report of 2 cases and review of the literature. Am J Surg Pathol. 2007, 31: 1330-1336. 10.1097/PAS.0b013e31802f72ef.CrossRefPubMed Ra SH, Fishbein MC, Baruch-Oren T, Shintaku P, Apple SK, Cameron RB, Lai CK: Mucinous adenocarcinomas of the thymus: report of 2 cases and review of the literature. Am J Surg Pathol. 2007, 31: 1330-1336. 10.1097/PAS.0b013e31802f72ef.CrossRefPubMed
14.
go back to reference Furtado A, Nogueira R, Ferreira D, Tente D, Eisele R, Parente B: Papillary adenocarcinoma of the thymus: case report and review of the literature. Int J Surg Pathol. 2010, 18: 530-533.PubMed Furtado A, Nogueira R, Ferreira D, Tente D, Eisele R, Parente B: Papillary adenocarcinoma of the thymus: case report and review of the literature. Int J Surg Pathol. 2010, 18: 530-533.PubMed
15.
go back to reference Hosaka Y, Tsuchida M, Umezu H, Eimoto T, Hashimoto T, Shinohara H, Hayashi J: Primary thymic adenocarcinoma coexisting with type AB thymoma: a rare case with long-term survival. Gen Thorac Cardiovasc Surg. 2010, 58: 488-491.CrossRefPubMed Hosaka Y, Tsuchida M, Umezu H, Eimoto T, Hashimoto T, Shinohara H, Hayashi J: Primary thymic adenocarcinoma coexisting with type AB thymoma: a rare case with long-term survival. Gen Thorac Cardiovasc Surg. 2010, 58: 488-491.CrossRefPubMed
16.
go back to reference Toshiji I, Mitsuaki S, Tsutomu S, Takashi M, Toshio K, Kazuhisa T: Thymic adenocarcinoma with sarcomatoid features characterized byIntracaval tumor growth: report of a case. Surg Today. 2010, 40: 1068-1072. 10.1007/s00595-009-4181-8.CrossRef Toshiji I, Mitsuaki S, Tsutomu S, Takashi M, Toshio K, Kazuhisa T: Thymic adenocarcinoma with sarcomatoid features characterized byIntracaval tumor growth: report of a case. Surg Today. 2010, 40: 1068-1072. 10.1007/s00595-009-4181-8.CrossRef
17.
go back to reference Maeda D, Ota S, Ikeda S, Kawano R, Hata E, Nakajima J: Mucinous adenocarcinoma of the thymus: a distinct variant of thymic carcinoma. Lung Cancer. 2009, 64: 22-27. 10.1016/j.lungcan.2008.06.019.CrossRefPubMed Maeda D, Ota S, Ikeda S, Kawano R, Hata E, Nakajima J: Mucinous adenocarcinoma of the thymus: a distinct variant of thymic carcinoma. Lung Cancer. 2009, 64: 22-27. 10.1016/j.lungcan.2008.06.019.CrossRefPubMed
18.
go back to reference Ra YJ, Bae MJ, Kim YS, Choi KU: Difficulties in diagnosis and treatment of thymic adenocarcinoma producing β-human chorionic gonadotropin in anterior mediastinum. Interact Cardiovasc Thorac Surg. 2010, 11: 114-116. 10.1510/icvts.2010.235200.CrossRefPubMed Ra YJ, Bae MJ, Kim YS, Choi KU: Difficulties in diagnosis and treatment of thymic adenocarcinoma producing β-human chorionic gonadotropin in anterior mediastinum. Interact Cardiovasc Thorac Surg. 2010, 11: 114-116. 10.1510/icvts.2010.235200.CrossRefPubMed
19.
go back to reference Babu MK, Nirmala V: Thymic carcinoma with glandular differentiation arising in a congenital thymiccyst. J Surg Oncol. 1994, 57: 277-279. 10.1002/jso.2930570415.CrossRefPubMed Babu MK, Nirmala V: Thymic carcinoma with glandular differentiation arising in a congenital thymiccyst. J Surg Oncol. 1994, 57: 277-279. 10.1002/jso.2930570415.CrossRefPubMed
20.
go back to reference Shimono M, Hiraki A, Ueoka H, Tanimoto Y, Aoe M, Sakae K, Kaneda K, Sakugawa M, Kiura K, Harada M: Successful treatment with concurrent chemoradiotherapy followed by surgery for a patient with thymic adenocarcinoma. Anticancer Res. 2001, 21: 2519-2522.PubMed Shimono M, Hiraki A, Ueoka H, Tanimoto Y, Aoe M, Sakae K, Kaneda K, Sakugawa M, Kiura K, Harada M: Successful treatment with concurrent chemoradiotherapy followed by surgery for a patient with thymic adenocarcinoma. Anticancer Res. 2001, 21: 2519-2522.PubMed
21.
go back to reference Zaitlin N, Rozenman J, Yellin A: Papillary adenocarcinoma in athymic cyst: a pitfall of thoracoscopic excision. Ann Thorac Surg. 2003, 76: 1279-1281. 10.1016/S0003-4975(03)00524-1.CrossRefPubMed Zaitlin N, Rozenman J, Yellin A: Papillary adenocarcinoma in athymic cyst: a pitfall of thoracoscopic excision. Ann Thorac Surg. 2003, 76: 1279-1281. 10.1016/S0003-4975(03)00524-1.CrossRefPubMed
22.
go back to reference Lee GY, Yang WI, Jeung HC, Kim SC, Seo MY, Park CH, Chung HC, Rha SY: Genome-wide genetic aberrations of thymoma using cDNA microarray based comparative genomic hybridization. BMC Genomics. 2007, 8: 305-10.1186/1471-2164-8-305.CrossRefPubMedPubMedCentral Lee GY, Yang WI, Jeung HC, Kim SC, Seo MY, Park CH, Chung HC, Rha SY: Genome-wide genetic aberrations of thymoma using cDNA microarray based comparative genomic hybridization. BMC Genomics. 2007, 8: 305-10.1186/1471-2164-8-305.CrossRefPubMedPubMedCentral
23.
go back to reference Inoue M, Starostik P, Zettl A, Ströbel P, Schwarz S, Scaravilli F, Henry K, Willcox N, MüllerHermelink H-K, Marx A: Correlating genetic aberrations with world health organization defined histology and stage across the spectrum of thymomas. Cancer Res. 2003, 63: 3708-3715.PubMed Inoue M, Starostik P, Zettl A, Ströbel P, Schwarz S, Scaravilli F, Henry K, Willcox N, MüllerHermelink H-K, Marx A: Correlating genetic aberrations with world health organization defined histology and stage across the spectrum of thymomas. Cancer Res. 2003, 63: 3708-3715.PubMed
24.
go back to reference Zhou R, Zettl A, Ströbel P, Wagner K, Müller-Hermelink HK, Zhang SSJ, Marx A, Starostik P: Thymic epithelial tumors can develop along two different pathogenetic pathways. Am J Pathol. 2001, 159: 1853-1860. 10.1016/S0002-9440(10)63031-3.CrossRefPubMedPubMedCentral Zhou R, Zettl A, Ströbel P, Wagner K, Müller-Hermelink HK, Zhang SSJ, Marx A, Starostik P: Thymic epithelial tumors can develop along two different pathogenetic pathways. Am J Pathol. 2001, 159: 1853-1860. 10.1016/S0002-9440(10)63031-3.CrossRefPubMedPubMedCentral
Metadata
Title
Primary adenocarcinoma of the thymus: an immunohistochemical and molecular study with review of the literature
Authors
Maryam Maghbool
Mani Ramzi
Inga Nagel
Pablo Bejarano
Reiner Siebert
Abolfazl Saeedzadeh
Yahya Daneshbod
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Clinical Pathology / Issue 1/2013
Electronic ISSN: 1472-6890
DOI
https://doi.org/10.1186/1472-6890-13-17

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