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Expanding the Morphological, Immunohistochemical, and Molecular Spectrums of NUT Carcinoma at Rare Sites of Head and Neck Region - PubMed

5 hours ago
  • #NUT carcinoma
  • #head and neck cancer
  • #molecular pathology
  • Study focuses on expanding the understanding of head and neck NUT carcinoma (HN-NC) at rare sites.
  • Fifteen HN-NC cases were analyzed, with most found in major salivary glands and oral mucosa.
  • Unusual morphologies observed included differentiated papillary squamous cell carcinoma, myoepithelial carcinoma, and small round cell malignancy.
  • Molecular analysis revealed BRD4::NUTM1 fusion in most cases, with rare fusions like ZNF532::NUTM1 and novel CCNT2::NUTM1.
  • Immunohistochemical markers such as SOX2, PRAME, c-MYC, and EGFR were positive in about half of the cases.
  • Prognosis was poor, with tumor site and fusion gene type significantly affecting survival rates.
  • HN-NC should be considered in differential diagnoses of poorly differentiated malignancies in the head and neck region.