Benign and preinvasive mesothelial tumors

2023-03-24   Yin (Rex) Hung, MD 

1.Massachusetts General Hospital and Harvard Medical School, Boston

Classification

Definition

Benign and pre-invasive mesothelial tumors include adenomatoid tumor, well-differentiated papillary mesothelial tumor, and mesothelioma in situ.

Benign and preinvasive mesothelial tumorsGenetic marker(s)
Adenomatoid tumor of the pleuraSomatic missense mutations involving TRAF7 in >80% of cases. No mutations typical of mesothelioma such as BAP1, SETD2, NF2, PBRM1, and others.1
Well-differentiated papillary mesothelial tumor of the pleura Somatic missense mutations in TRAF7 or CDC42, which appear mutually exclusive of one another, have been reported in some cases. Mutations in EHD1, ATM, FBXO10, SH2D2A, CDH5, MAGED1, and TP73 have also been reported. No evidence of other typical mutations seen in mesothelioma such as BAP1, SETD2, NF2, PBRM1, and others.2,3
Mesothelioma in situSome cases harbor somatic BAP1 mutations, otherwise no other alterations as detected by whole-exome sequencing. In addition to BAP1 alterations, loss of MTAP expression has been noted in rare cases.4,5

Article Bibliography

Reference NumberPubmed IDLast YearTitleAuthors
1291485372018Adenomatoid tumors of the male and female genital tract are defined by TRAF7 mutations that drive aberrant NF-kB pathway activation.Goode B et al
2301711982019Well-differentiated papillary mesothelioma of the peritoneum is genetically defined by mutually exclusive mutations in TRAF7 and CDC42.Stevers M et al
3325457672020Well-Differentiated Papillary Mesothelioma of the Peritoneum Is Genetically Distinct from Malignant Mesothelioma.Shrestha R et al
4313757702020Malignant mesothelioma in situ: morphologic features and clinical outcome.Churg A et al
5329322122020Whole exome sequencing reveals BAP1 somatic abnormalities in mesothelioma in situ.Dacic S et al

Citation

Yin (Rex) Hung, MD

Benign and preinvasive mesothelial tumors

Atlas Genet Cytogenet Oncol Haematol. 2023-03-24

Online version: http://atlasgeneticsoncology.org/solid-tumor/209100/benign-and-preinvasive-mesothelial-tumors