Table 2.
Sinonasal tumors reviewed in this article: Immunohistochemical features and molecular genetic data
| Tumor type | Immunohistochemistry | Molecular genetics |
|---|---|---|
| Respiratory epithelial lesions – carcinomas | ||
| Non-keratinizing squamous cell carcinoma | CK, p63/p40, CK5/6, p16 | HPV association (20–62%), |
| Type 16 | ||
| EBV association – rare | ||
| subset DEK::AFF2 | ||
| NUT carcinoma | NUT, p63, CD34 | NUTM1::BRD4/BRD3/NSD3/ (ZNF532, ZNF592) |
| SWI/SNF complex-deficient sinonasal carcinoma | ||
| SMARCB1 deficient carcinoma | CK5, p63, CK7, SMARCB1-loss | SMARCB1 mutation ± SMARCA2 mutation |
| SMARCB1 deficient adenocarcinoma | CK7, p40, glypican 3, SALL4, HepPar-1, CDX2, CK20, PLAP and AFP; SMARCB1-loss | SMARCB1 mutation |
| SMARCA4 deficient carcinoma | CK, CK7, synaptophysin. Chromogranin, CD56; SMARCA4 loss | SMARCA4 mutation ± SMARCA2 mutation |
| Sinonasal lymphoepithelial carcinoma | EBV | EBV |
| Sinonasal undifferentiated carcinoma (SNUC) | diagnosis per exclusionem, a subset IDH1/2 | IDH wild type and IDH1/2 mutations |
| HPV-associated multiphenotypic sinonasal carcinoma | Biphasic, S100, SOX10, p16 | HPV – mainly serovariety 33 |
Excluded entities without diagnostic molecular genetic characteristics
Adapted from:
WHO Classification of Tumours Editorial Board. Head and neck tumours. Lyon (France): International Agency for Research on Cancer; forthcoming. (WHO classification of tumours series, 5th ed.; vol. 9). https://publications.iarc.fr