Purpose To investigate the clinical and pathological characteristics of synchronous multiple primary malignancy(sMPM)with lymphoid hematopoietic tissue tumors.Methods A retrospective analysis was conducted on the clinical and pathological data of 20 cases of sMPM associated with lymphoma.Immunohistochemistry using the En-Vision two-step method was performed to detect the expression of relevant proteins,while FISH and next-generation se-quencing technologies were used to identify gene mutations.Relevant literature was also reviewed.Results There were 14 females and 6 males,aged from 30 to 75 years(median 67 years).All of them manifested as solid organ mas-ses complicated by lymphadenopathy.Lymphohematopoietic tissue tumors consisted of:7 cases of Hodgkin lymphoma(6 cases of classic Hodgkin lymphoma,1 case of nodular lymphocyte predominant Hodgkin lymphoma),13 cases of non-Hodgkin lymphoma(4 cases of Follicular lymphoma,2 cases of small lymphocytic lymphoma/chronic lymphocytic leukemia,2 cases of diffuse large B-cell lymphoma,1 case of plasmablastic plasmacytoma,1 case of marginal zone B-cell lymphoma,1 case of B-lymphoblastic lymphoma,2 cases of peripheral T-cell lymphoma,NOS).Solid tumors con-sisted of:9 cases of papillary thyroid carcinoma,1 case of medullary thyroid carcinoma,2 cases of adenocarcinoma of the lung,2 cases of gallbladder adenocarcinoma,2 cases of invasive carcinoma of the breast,2 cases of gastrointestinal adenocarcinoma,1 case of pleomorphic undifferentiated sarcoma of the lower extremity,and 1 case of oropharyngeal squamous cell carcinoma.17 patients underwent surgical resection,and 3 patients were diagnosed by core needle biop-sy or excision biopsy.10 cases of lymphoma involved in the lymph nodes of the tumor drainage area,and 10 cases were found to have lymph node involvement in other areas by imaging examination.Among the 5 cases analyzed by targeted next generation sequencing,no revelent genetic changes were founded,and no germline mutations or chromosomal kar-yotype abnormalities were founded.Based on the tumor types,patients received varying degrees of radiotherapy,chem-otherapy,or follow-up.Follow-up information was available in all cases and ranged from 5 to 96 months,15 were sur-vived and four patients died of the tumor,and 1 case was lost to follow-up.Conclusion MPMs with lymphoid hemato-poietic tissue tumors are rare,clinicians and pathologists should be careful to avoid missing the diagnosis of lymphoma.

Purpose To investigate the clinical and pathological characteristics of synchronous multiple primary malignancy(sMPM)with lymphoid hematopoietic tissue tumors.Methods A retrospective analysis was conducted on the clinical and pathological data of 20 cases of sMPM associated with lymphoma.Immunohistochemistry using the En-Vision two-step method was performed to detect the expression of relevant proteins,while FISH and next-generation se-quencing technologies were used to identify gene mutations.Relevant literature was also reviewed.Results There were 14 females and 6 males,aged from 30 to 75 years(median 67 years).All of them manifested as solid organ mas-ses complicated by lymphadenopathy.Lymphohematopoietic tissue tumors consisted of:7 cases of Hodgkin lymphoma(6 cases of classic Hodgkin lymphoma,1 case of nodular lymphocyte predominant Hodgkin lymphoma),13 cases of non-Hodgkin lymphoma(4 cases of Follicular lymphoma,2 cases of small lymphocytic lymphoma/chronic lymphocytic leukemia,2 cases of diffuse large B-cell lymphoma,1 case of plasmablastic plasmacytoma,1 case of marginal zone B-cell lymphoma,1 case of B-lymphoblastic lymphoma,2 cases of peripheral T-cell lymphoma,NOS).Solid tumors con-sisted of:9 cases of papillary thyroid carcinoma,1 case of medullary thyroid carcinoma,2 cases of adenocarcinoma of the lung,2 cases of gallbladder adenocarcinoma,2 cases of invasive carcinoma of the breast,2 cases of gastrointestinal adenocarcinoma,1 case of pleomorphic undifferentiated sarcoma of the lower extremity,and 1 case of oropharyngeal squamous cell carcinoma.17 patients underwent surgical resection,and 3 patients were diagnosed by core needle biop-sy or excision biopsy.10 cases of lymphoma involved in the lymph nodes of the tumor drainage area,and 10 cases were found to have lymph node involvement in other areas by imaging examination.Among the 5 cases analyzed by targeted next generation sequencing,no revelent genetic changes were founded,and no germline mutations or chromosomal kar-yotype abnormalities were founded.Based on the tumor types,patients received varying degrees of radiotherapy,chem-otherapy,or follow-up.Follow-up information was available in all cases and ranged from 5 to 96 months,15 were sur-vived and four patients died of the tumor,and 1 case was lost to follow-up.Conclusion MPMs with lymphoid hemato-poietic tissue tumors are rare,clinicians and pathologists should be careful to avoid missing the diagnosis of lymphoma.

Objective:To investigate the clinicopathological characteristics of SMARCA4-deficient thoracic undifferentiated tumors, and the diagnostic value of the cells in serous effusion.Methods:Eleven cases of SMARCA4-deficient tumor were collected from the Affiliated Hospital of Hebei University, China from January 2018 to July 2023, which were diagnosed using cell block of serous effusion. The clinical, histopathological, immunohistochemical and molecular genetic features were reviewed, along with related literature.Results:All the 11 patients were males with ages ranging from 54 to 77 years (median 64 years). Nine patients were smokers and two had an unknown smoking history. Most of them complained of cough and dyspnea with pleural effusion. The primary tumor sites included lung (9 cases), thoracic wall (1 case), and mediastinum (1 case), while 3 patients had a history of lung surgery. Histologically, tumor cells were large and pleomorphic, with increased nuclear-cytoplasmic ratio. They also showed round nuclei, conspicuous nucleoli, and basophilic cytoplasm in serous effusion. Immunohistochemically, tumor cells in all cases were negative for SMARCA4/BRG1, CKpan and CK7, but positive for SMARCB1/INI1. Some of the cases were positive for CD34 (7/11), synaptophysin (4/11) and SALL4 (2/11). Histologically, monotonous tumor cells formed solid sheets or anastomosing islands with poor cell adhesion and rhabdoid morphology. Brisk mitotic figures were accompanied by large areas of necrosis. Some cases focally exhibited syncytia, and some had bright cytoplasm and vesicular chromatin. The immunohistochemical profiles in the tumor tissues were consistent with those of cytology. Six cases were negative for PD-L1 (22c3). Among the 6 cases analyzed by targeted next generation sequencing, concurrent SMARCA4 and TP53 mutations were detected in all 6 cases. Some of the 6 tumors showed mutations of STK11, CDKN2A, and MET, and amplification of ERBB2, exon deletion of BRCA2, etc. Follow-up information was available in all cases and ranged from 2 to 24 months. The patients showed metastases to various sites, including lymph node, liver, kidney, adrenal gland, brain, bone and other sites. Four patients died of the tumor. The survival time of 4 patients who underwent radical resection or radiofrequency ablation was more than 13 months.Conclusions:SMARCA4-deficient thoracic sarcoma is a rare but highly aggressive tumor with dismal prognosis and rhabdomyoid features. It is difficult to diagnose this disease using only serous effusion samples. This tumor thus warrants careful consideration. Accurate diagnosis can greatly improve early diagnosis and treatment of these tumors.

Objective To verify whether miR-630 could inhibit MDA-MB-231 cells migration and invasion by targeting Sox4 in triple-negative breast cancer(TNBC).Methods Collection normal breast tissue and breast cancer tissue from patients undergoing breast cancer resection.RT-PCR were used to test the expression of miR-630,miR-21,miR-195,miR-134,miR-200a,miR-381 and miR-1228.Western blot were used to test the expression of COL1A1,COL1 A5,MMP-2,MMP-9 and Sox4.In vitro experiment,after miR-630 was transfected into MDA-MB-231 cells,wound healing were employed to test the migratory ability of MDA-MB-231 cells,and transwell were used to test the invasion ability of MDA-MB-231 cells.Western blot were used to investigate the expressions of COL1 Al,COL1 A5,MMP-2,MMP-9 and Sox4 in MDA-MB-231 cell.Luciferase assay was used to confirmed whether Sox43'-UTR the target gene of miR-630.Results Compared with normal breast tissue,the expression of miR-630 was decreased(P＜0.01),meanwhile the expression of COL1A1,COL1A5,MMP-2,MMP-9 and Sox4 were significantly increased in the triple-negative breast cancer tissue(P＜0.01).In the vitro experiment,compared with the control group,the expression of COL1A1,COL1A5,MMP-2,MMP-9 and Sox4 were decreased in the miR-630 group (P＜0.05);The migration activity of MDA-MB-231 cells was decreased in the miR-630 group (P＜0.01);The Luciferase activity of the Sox4-3'-UTR plasmid was significantly suppressed by miR630 (P＜0.05);Over expression of Sox4 could reverse the effect of miR-630 on MDA-MB-231(P＜0.05,P＜0.01).Conclusion In triple-negative breast cancer tissue,the expression of miR-630 decreased;miR-630 inhibits triple-negative breast cancer cells migration and invasion by targeting Sox4-3’-UTR.

Adenocarcinoma, Mucinous ; Humans ; Thyroid Neoplasms