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Published on: December 15, 2023
Molecular diagnosis in head and neck: what a surgical pathologist must know
1Department of Anatomic Pathology (L25), Head and Neck Pathology, Cleveland Clinic, Cleveland Clinic Lerner College of Medicine, 9500, Euclid Street, Cleveland, OH 44195, USA. huntj2@ccf.org
Abstract:
Molecular alterations in tumors have become interesting targets both for diagnostic and for therapeutic and prognostic applications in tumor pathology. In the head and neck, there are a variety of different alterations, encompassing all the different types of genetic events associated with carcinogenesis. This paper reviews three different types of tumors that display a spectrum of genetic alterations: the translocation in Mucoepidermoid carcinoma, Epstein Barr virus association in nasopharyngeal carcinoma, and the HRPT2 tumor suppressor gene in parathyroid carcinoma. Basic histology is reviewed and the genetic alterations are discussed, along with a brief discussion of potential diagnostic implications.
Insights
This review covers genetic alterations in head and neck tumors, focusing on Mucoepidermoid carcinoma, nasopharyngeal carcinoma, and parathyroid carcinoma. Understanding these molecular changes aids in diagnosis and treatment.
Area of Science:
- Oncology
- Molecular Pathology
- Genetics
Background:
- Molecular alterations are key targets in tumor pathology for diagnosis, therapy, and prognosis.
- Head and neck tumors exhibit diverse genetic alterations linked to carcinogenesis.
Framework:
- Review of genetic alterations in three distinct head and neck tumors.
- Focus on translocation in Mucoepidermoid carcinoma.
- Epstein Barr virus association in nasopharyngeal carcinoma.
- HRPT2 tumor suppressor gene in parathyroid carcinoma.
Implementation:
- Basic histology of each tumor type is presented.
- Detailed discussion of specific genetic alterations.
- Exploration of molecular events driving tumor development.
Implications:
- Potential diagnostic applications of identified molecular alterations.
- Insights into therapeutic strategies based on genetic profiles.
- Prognostic value of molecular markers in head and neck cancers.
