INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis

SMARCB1-deficient sinonasal carcinoma is a newly described entity, with less than 100 reported cases. It is characterized by basaloid or rhabdoid morphology and is diagnosed by complete loss of nuclear SMARCB1 (INI-1). The morphologic appearance, specific immunophenotypic markers, and unique molecul...

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Main Authors: Anwaar M. Alsayed, Eman A. Aljufairi, Amjad O. Alshammari, Khalid A. Alsindi, Omar A. Sabra
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2022/5629984
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author Anwaar M. Alsayed
Eman A. Aljufairi
Amjad O. Alshammari
Khalid A. Alsindi
Omar A. Sabra
author_facet Anwaar M. Alsayed
Eman A. Aljufairi
Amjad O. Alshammari
Khalid A. Alsindi
Omar A. Sabra
author_sort Anwaar M. Alsayed
collection DOAJ
description SMARCB1-deficient sinonasal carcinoma is a newly described entity, with less than 100 reported cases. It is characterized by basaloid or rhabdoid morphology and is diagnosed by complete loss of nuclear SMARCB1 (INI-1). The morphologic appearance, specific immunophenotypic markers, and unique molecular make-up distinguish this entity from other various malignant neoplasms. We present a case of a 55-year-old male that presented with a large progressing palatine mass. Magnetic resonance imaging showed a heterogeneous mass involving the left maxillary space. The initial biopsy was diagnosed as undifferentiated carcinoma. Resection was performed, and immunohistochemical studies revealed a complete loss of INI-1, refining the diagnosis to SMARCB1-deficient sinonasal carcinoma. Diagnosis of SMARCB1-deficient sinonasal carcinoma should be considered in all undifferentiated sinonasal carcinomas. Immunohistochemistry or molecular studies are mandatory to confirm the diagnosis and exclude other morphologically similar entities.
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series Case Reports in Pathology
spelling doaj-art-f95bf32c57d345a3b6a78812b06834c92025-02-03T06:01:10ZengWileyCase Reports in Pathology2090-679X2022-01-01202210.1155/2022/5629984INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential DiagnosisAnwaar M. Alsayed0Eman A. Aljufairi1Amjad O. Alshammari2Khalid A. Alsindi3Omar A. Sabra4Department of HistopathologyDepartment of HistopathologyDepartment of HistopathologyDepartment of HistopathologyDepartment of EarSMARCB1-deficient sinonasal carcinoma is a newly described entity, with less than 100 reported cases. It is characterized by basaloid or rhabdoid morphology and is diagnosed by complete loss of nuclear SMARCB1 (INI-1). The morphologic appearance, specific immunophenotypic markers, and unique molecular make-up distinguish this entity from other various malignant neoplasms. We present a case of a 55-year-old male that presented with a large progressing palatine mass. Magnetic resonance imaging showed a heterogeneous mass involving the left maxillary space. The initial biopsy was diagnosed as undifferentiated carcinoma. Resection was performed, and immunohistochemical studies revealed a complete loss of INI-1, refining the diagnosis to SMARCB1-deficient sinonasal carcinoma. Diagnosis of SMARCB1-deficient sinonasal carcinoma should be considered in all undifferentiated sinonasal carcinomas. Immunohistochemistry or molecular studies are mandatory to confirm the diagnosis and exclude other morphologically similar entities.http://dx.doi.org/10.1155/2022/5629984
spellingShingle Anwaar M. Alsayed
Eman A. Aljufairi
Amjad O. Alshammari
Khalid A. Alsindi
Omar A. Sabra
INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis
Case Reports in Pathology
title INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis
title_full INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis
title_fullStr INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis
title_full_unstemmed INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis
title_short INI-1-Deficient Sinonasal Carcinoma: Case Report with Emphasis on Differential Diagnosis
title_sort ini 1 deficient sinonasal carcinoma case report with emphasis on differential diagnosis
url http://dx.doi.org/10.1155/2022/5629984
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AT amjadoalshammari ini1deficientsinonasalcarcinomacasereportwithemphasisondifferentialdiagnosis
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