While altered protein glycosylation is regarded a trait of oral squamous cell carcinoma (OSCC), the heterogeneous and dynamic glycoproteome of tumor tissues from OSCC patients remain unmapped. To this end, we here employ an integrated multi-omics approach comprising unbiased and quantitative glycomics and glycoproteomics applied to a cohort of resected primary tumor tissues from OSCC patients with (n = 19) and without (n = 12) lymph node metastasis. While all tumor tissues displayed relatively uniform N-glycome profiles suggesting overall stable global N-glycosylation during disease progression, altered expression of six sialylated N-glycans was found to correlate with lymph node metastasis. Notably, glycoproteomics and advanced statistical analyses uncovered altered site-specific N-glycosylation revealing previously unknown associations with several clinicopathological features. Importantly, the glycomics and glycoproteomics data unveiled that comparatively high abundance of two core-fucosylated and sialylated N-glycans (Glycan 40a and Glycan 46a) and one N-glycopeptide from fibronectin were associated with low patient survival, while a relatively low abundance of N-glycopeptides from both afamin and CD59 were also associated with poor survival. This study provides insight into the complex OSCC tissue N-glycoproteome, thereby forming an important resource to further explore the underpinning disease mechanisms and uncover new prognostic glycomarkers for OSCC.
27 March 2019 in Journal of Oral Pathology & Medicine
This study reports 2 odontogenic carcinosarcomas, including the clinicopathologic and immunoprofile characteristics of these rare tumors. The first case occurred in a 22-year-old male presenting a bilobular mass involving the gingiva and bone of the premolar region of the left mandible, with paresthesia of the lower lip. Microscopic examination revealed a tumor similar to ameloblastic fibrosarcoma, with atypical mesenchymal cells; however, the odontogenic epithelium also showed atypia. In the second case, a 16-year-old female had a painless, asymptomatic, large intraosseous mandibular lesion. The patient received radiotherapy to treat a rhabdomyosarcoma of the parotid 13 years before. The tumor was composed of atypical spindle cells, positive for vimentin and smooth muscle actin, intermingled with malignant odontogenic epithelium. Both epithelial and mesenchymal components of the tumors showed high index of p53- and Ki67-positive cells. The first case was diagnosed as odontogenic carcinosarcoma possibly originated from an ameloblastic fibrosarcoma, and the second as de novo odontogenic carcinosarcoma possibly caused by previous radiotherapy.
1 August 2021 in Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Background: Oral pseudo perineurioma is a reactive lesion of the peripheral nerve sheath rarely described in the literature, occurring more frequently in the tongue and lower lips. Objective: The objective of this case report is to describe pseudoperineurioma with a literary basis, to encourage learning and assist in decision-making in certain situations. Case Report: We present here a rare case of oral pseudoperineurioma in tongue that occurred in a 19-year-old man and a brief review of the literature. A 19-year-old man presented with a nodular lesion on the dorsum of the tongue without painful symptoms. Excisional biopsy was performed. The pathological examination revealed a proliferation of structures like onion bulbs. Immunohistochemical analysis was positive for GLUT-1. Conclusion: The histological diagnosis was oral pseudoperineurioma. Oral pseudoperineurioma is a rare clinical lesion and can be confused with other reactive and neoplastic conditions of the oral cavity.