• Issue

    Histopathology: Volume 83, Issue 1

    i, 1-159
    July 2023

Cover Image

Free Access

Cover Image

  • Page: i
  • First Published: 15 June 2023
Cover Image Volume 83 Issue 1, 2023

The cover image is based on the Short Report A nodal EBV-positive T cell lymphoma with a T follicular helper cell phenotype by Zhaoxuan Zhang et al., https://doi.org/10.1111/his.14919.

Issue Information

Free Access

Issue Information

  • Pages: 1-2
  • First Published: 15 June 2023

Review

Diagnostic test accuracy meta-analysis of PRAME in distinguishing primary cutaneous melanomas from benign melanocytic lesions

  • Pages: 3-14
  • First Published: 21 March 2023
Diagnostic test accuracy meta-analysis of PRAME in distinguishing primary cutaneous melanomas from benign melanocytic lesions

PRAME immunohistochemistry may serve as an ancillary marker to support the diagnosis of melanoma, but its performance is low in spitzoid lesions. The meta-analysis suggests that the 3+/50% threshold might be more useful in practice than the widely recommended 4+/75%, as it shows higher sensitivity with retained satisfactory specificity.

Original Articles

Open Access

Human papillomavirus and p53 status define three types of vulvar squamous cell carcinomas with distinct clinical, pathological, and prognostic features

  • Pages: 17-30
  • First Published: 26 April 2023
Human papillomavirus and p53 status define three types of vulvar squamous cell carcinomas with distinct clinical, pathological, and prognostic features

Currently, all VSCC are treated similarly, irrespective of HPV and p53 status. Our findings suggest that in the future, the treatment of VSCC might be tailored in accordance with these molecular subgroups (HPV-associated VSCC, HPV-independent VSCC with wildtype p53, HPV-independent VSCC with mutated p53), given their different prognosis and behaviour.

Intraosseous hibernoma: clinicopathologic and imaging analysis of 18 cases

  • Pages: 40-48
  • First Published: 26 April 2023
Intraosseous hibernoma: clinicopathologic and imaging analysis of 18 cases

Intraosseous hibernomas are rare benign tumours most frequently detected as small sclerotic lesions in the spine and pelvis of older adults. Clinically and on imaging studies, these tumours frequently raised concern for a metastasis. Accurate classification is needed to prevent unnecessary procedures and assuage fears of an aggressive process.

Diagnostic utility of FOXO1 immunohistochemistry for rhabdomyosarcoma classification

  • Pages: 49-56
  • First Published: 01 March 2023
Diagnostic utility of FOXO1 immunohistochemistry for rhabdomyosarcoma classification

Alveolar rhabdomyosarcoma is characterised by an oncogenic translocation involving PAX3 or PAX7 and FOXO1; identification of this translocation is important for diagnostic classification. This study suggests that among rhabdomyosarcomas, FOXO1 immunohistochemistry is a highly sensitive and relatively specific surrogate marker of the PAX3/7::FOXO1 fusion oncoprotein.

Clinicopathologic and genetic characterization of angiofibroma of soft tissue: a study of 12 cases including two cases with AHRR::NCOA3 gene fusion

  • Pages: 57-66
  • First Published: 01 March 2023
Clinicopathologic and genetic characterization of angiofibroma of soft tissue: a study of 12 cases including two cases with AHRR::NCOA3 gene fusion

Two cases with AHRR::NCOA3 fusion were included in 12 cases of angiofibroma of soft tissue (AFST). Diffusely distributed CD163-positive cells were different from true neoplastic cells that were positive for desmin to varying degrees.

Open Access

Consensus based recommendations for the diagnosis of serous tubal intraepithelial carcinoma: an international Delphi study

  • Pages: 67-79
  • First Published: 20 March 2023
Consensus based recommendations for the diagnosis of serous tubal intraepithelial carcinoma: an international Delphi study

This Delphi study provides an overview of current clinical practice regarding STIC diagnosis amongst an international panel of expert gynecopathologists. The experts' consensus statements form the basis for a set of recommendations, which may help towards more consistent STIC diagnosis.

Resection margin involvement after endoscopic excision of malignant colorectal polyps: definition of margin involvement and its impact upon tumour recurrence

  • Pages: 80-90
  • First Published: 20 March 2023
Resection margin involvement after endoscopic excision of malignant colorectal polyps: definition of margin involvement and its impact upon tumour recurrence

Using three different definitions of margin involvement in malignant polyps, between 26.6 and 50% of polyps were placed in a ‘low risk’ category with adverse outcomes in 1.6–6.3% of cases. Using a new definition may prevent many patients needing to undergo radical surgery.

Open Access

BRCA1 and BRCA2 carriers with breast, ovarian and prostate cancer demonstrate a different pattern of metastatic disease compared with non-carriers: results from a rapid autopsy programme

  • Pages: 91-103
  • First Published: 31 March 2023
BRCA1 and BRCA2 carriers with breast, ovarian and prostate cancer demonstrate a different pattern of metastatic disease compared with non-carriers: results from a rapid autopsy programme

This study catalogued and compared the pattern of metastatic disease in germline BRCA1/2 pathogenic mutation carriers and non-carriers with breast, ovarian and prostate cancer from a rapid autopsy programme. Our findings suggest that metastatic patterns of breast and ovarian cancers maybe impacted by BRCA1/2 carrier status, suggesting that tumours derived from patients with these mutations use different mechanisms of dissemination.

TRPS1 expression is sensitive and specific for primary extramammary Paget disease

  • Pages: 104-108
  • First Published: 27 March 2023
TRPS1 expression is sensitive and specific for primary extramammary Paget disease

TRPS1 expression is sensitive and specific for extramammary Paget disease of the vulva and scrotum. Melanoma in situ and secondary tumours with pagetoid spread, including urothelial carcinoma, are negative for TRPS1.

Spectrum of kinase gene rearrangements in a large series of paediatric inflammatory myofibroblastic tumours

  • Pages: 109-115
  • First Published: 18 April 2023
Spectrum of kinase gene rearrangements in a large series of paediatric inflammatory myofibroblastic tumours

This study presents the largest series of inflammatory myofibroblastic tumours (IMTs), which were subjected to comprehensive analysis of kinase gene rearrangements. A combination of non-expensive PCR test for 5′/3′-end unbalanced gene expression, variant-specific PCR and NGS revealed gene fusions in 71 of 82 (87%) IMTs. Some rearrangements demonstrated age- and organ-dependent distribution.

DNA content abnormality frequently develops in the right/proximal colon in patients with primary sclerosing cholangitis and inflammatory bowel disease and is highly predictive of subsequent detection of dysplasia

  • Pages: 116-125
  • First Published: 03 April 2023
DNA content abnormality frequently develops in the right/proximal colon in patients with primary sclerosing cholangitis and inflammatory bowel disease and is highly predictive of subsequent detection of dysplasia

DNA content abnormality is frequently detected in the right/proximal colon in patients with primary sclerosing cholangitis and inflammatory bowel disease even before dysplasia is diagnosed, and is highly predictive of subsequent detection of dysplasia, in particular, nonconventional and/or invisible dysplasias.

Open Access

Low PD-L1 expression in immune cells predicts the presence of nodal metastasis in early invasive (pT1) colorectal cancer: a novel tool to tailor surgical treatment

  • Pages: 126-136
  • First Published: 18 April 2023
Low PD-L1 expression in immune cells predicts the presence of nodal metastasis in early invasive (pT1) colorectal cancer: a novel tool to tailor surgical treatment

Low PD-L1 expression by immune cells predicts lymph node metastasis in pT1 colorectal carcinoma. PD-L1 CPS < 1.2 and PD-L1 ICS < 1.3% were determined to be the optimal cut-off values, allowing the identification of metastatic patients and thus to potentially avoid a significant rate of unnecessary surgeries.