-
摘要:
睾丸核蛋白中线癌是一种具有高度侵袭性的恶性上皮肿瘤。该肿瘤主要以15q14上的NUT基因发生染色体重排,使NUT蛋白在睾丸外表达为特征。病理上,该肿瘤是一种伴有局灶性鳞状分化的未分化癌。NUT中线癌可发生于全身多个部位,以头颈部中线结构和纵隔多见,肺源性病例罕见且少有记录。但是,肺源性NUT中线癌的临床病程异常迅速、凶险,且诊断特点尚不明确。因此,本文主要探讨了关于原发性肺NUT中线癌的临床诊断和治疗方法。
Abstract:The nuclear protein of the testis (NUT) midline carcinoma is a highly aggressive malignant epithelial neoplasm. The tumor is characterized by chromosome rearrangement of the NUT gene on 15q14, which results in the expression of NUT protein outside the testis. Pathologically, the tumor is an undifferentiated carcinoma with focal squamous differentiation. The NUT midline carcinoma can occur in multiple parts of the body, most of which happen in the midline structure of the head and neck and the mediastinum. Pulmonary cases are unusual and rarely recorded. However, the clinical course of primary lung NUT midline carcinoma is abnormally rapid and dangerous, and the diagnostic characteristics are still unclear. Therefore, this paper mainly discusses the clinical diagnosis and treatment of primary lung NUT midline carcinoma.
-
Key words:
- Lung /
- NUT midline carcinoma /
- Bromodomain-containing protein(BRD4)
-
作者贡献:贺新月:查阅文献及文章撰写石磊:文章的审核、校正张子悦、李佳:查阅文献、修改文章
-
[1] Sholl LM, Nishino M, Pokharel S, et al. Primary Pulmonary NUT Midline Carcinoma: Clinical, Radiographic, and Pathologic Characterizations[J]. J Thorac Oncol, 2015, 10(6): 951-959. doi: 10.1097/JTO.0000000000000545
[2] Chau NG, Hurwitz S, Mitchell CM, et al. Intensive treatment and survival outcomes in NUT midline carcinoma of the head and neck[J]. Cancer, 2016, 122(23): 3632-3640. doi: 10.1002/cncr.30242
[3] Travis WD, Brambilla E, Nicholson AG, et al. The 2015 World Health Organization Classification of Lung Tumors: Impact of Genetic, Clinical and Radiologic Advances Since the 2004 Classification[J]. J Thorac Oncol, 2015, 10(9): 1243-1260. doi: 10.1097/JTO.0000000000000630
[4] French C. NUT midline carcinoma[J]. Nat Rev Cancer, 2014, 14(3): 149-150. doi: 10.1038/nrc3659
[5] French CA, Rahman S, Walsh EM, et al. NSD3-NUT fusion oncoprotein in NUT midline carcinoma: implications for a novel oncogenic mechanism[J]. Cancer Discov, 2014, 4(8): 928-941. doi: 10.1158/2159-8290.CD-14-0014
[6] Alekseyenko AA, Walsh EM, Zee BM, et al. Ectopic protein interactions within BRD4-chromatin complexes drive oncogenic megadomain formation in NUT midline carcinoma[J]. Proc Natl Acad Sci U S A, 2017, 114(21): E4184-E4192. doi: 10.1073/pnas.1702086114
[7] Grayson AR, Walsh EM, Cameron MJ, et al. MYC, a downstream target of BRD-NUT, is necessary and sufficient for the blockade of differentiation in NUT midline carcinoma[J]. Oncogene, 2014, 33(13): 1736-1742. doi: 10.1038/onc.2013.126
[8] Alekseyenko AA, Walsh EM, Wang X, et al. The oncogenic BRD4-NUT chromatin regulator drives aberrant transcription within large topological domains[J]. Genes Dev, 2015, 29(14): 1507-1523. doi: 10.1101/gad.267583.115
[9] Ueki H, Maeda N, Sekimizu M, et al. A case of NUT midline carcinoma with complete response to gemcitabine following cisplatin and docetaxel[J]. J Pediatr Hematol Oncol, 2014, 36(8): e476-e480. doi: 10.1097/MPH.0000000000000082
[10] Suzuki S, Kurabe N, Ohnishi I, et al. NSD3-NUT-expressing midline carcinoma of the lung: first characterization of primary cancer tissue[J]. Pathol Res Pract, 2015, 211(5): 404-408. doi: 10.1016/j.prp.2014.10.013
[11] Policarpio-Nicolas ML, de Leon EM, Jagirdar J. Cytologic findings of NUT midline carcinoma in the hilum of the lung[J]. Diagn Cytopathol, 2015, 43(9): 739-742. doi: 10.1002/dc.23291
[12] Lemelle L, Pierron G, Fréneaux P, et al. NUT carcinoma in children and adults: A multicenter retrospective study[J]. Pediatr Blood Cancer, 2017, 64(12). doi: 10.1002/pbc.26693
[13] Cao J, Chen D, Yang F, et al. NUT midline carcinoma as a primary lung tumor: a case report[J]. J Thorac Dis, 2017, 9(12): E1045-E1049. doi: 10.21037/jtd.2017.11.50
[14] Reddy R, Woods TR, Allan RW, et al. NUT (Nuclear Protein in Testis) Carcinoma: A Report of Two Cases With Different Histopathologic Features[J]. Int J Surg Pathol, 2019, 27(2): 225-229. doi: 10.1177/1066896918796606
[15] Mao N, Liao Z, Wu J, et al. Diagnosis of NUT carcinoma of lung origin by next-generation sequencing: case report and review of the literature[J]. Cancer Biol Ther, 2019, 20(2): 150-156. doi: 10.1080/15384047.2018.1523852
[16] Lee T, Choi S, Han J, et al. Abrupt Dyskeratotic and Squamoid Cells in Poorly Differentiated Carcinoma: Case Study of Two Thoracic NUT Midline Carcinomas with Cytohistologic Correlation[J]. J Pathol Transl Med, 2018, 52(5): 349-353. doi: 10.4132/jptm.2018.07.16
[17] PDQ Screening and Prevention Editorial Board. Lung Cancer Prevention (PDQ®): Health Professional Version[J]. 2019.
[18] Bair RJ, Chick JF, Chauhan NR, et al. Demystifying NUT midline carcinoma: radiologic and pathologic correlations of an aggressive malignancy[J]. AJR Am J Roentgenol, 2014, 203(4): W391-W399. doi: 10.2214/AJR.13.12401
[19] 余何, 李镭, 刘丹, 等. TTF-1、NapsinA、P63和CK5/6在肺癌组织的表达与分型诊断的价值[J].四川大学学报(医学版), 2017, 48(3): 336-341. [Yu H, Li L, Liu D, et al. Expression of TTF-1, NapsinA, P63, CK5/6 in Lung Cancer and Its Diagnostic Values for Histological Classification[J]. Sichuan Da Xue Xue Bao (Yi Xue Ban), 2017, 48(3): 336-341.] http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=hxykdxxb201703002 [20] Hellquist H, French CA, Bishop JA, et al. NUT midline carcinoma of the larynx: an international series and review of the literature[J]. Histopathology, 2017, 70(6): 861-868. doi: 10.1111/his.13143
[21] Wasserman JK, Purgina B, Sekhon H, et al. The Gross Appearance of a NUT Midline Carcinoma[J]. Int J Surg Pathol, 2016, 24(1): 85-88. doi: 10.1177/1066896915606970
[22] Bauer DE, Mitchell CM, Strait KM, et al. Clinicopathologic features and long-term outcomes of NUT midline carcinoma[J]. Clin Cancer Res, 2012, 18(20): 5773-5779. doi: 10.1158/1078-0432.CCR-12-1153
[23] Stathis A, Zucca E, Bekradda M, et al. Clinical Response of Carcinomas Harboring the BRD4-NUT Oncoprotein to the Targeted Bromodomain Inhibitor OTX015/MK-8628[J]. Cancer Discov, 2016, 6(5): 492-500. doi: 10.1158/2159-8290.CD-15-1335
计量
- 文章访问数: 3650
- HTML全文浏览量: 550
- PDF下载量: 535