Table 2 Pathologic findings.

From: Conjunctival ‘mucoepidermoid carcinoma’ revisited: a revision of terminology, based on morphologic, immunohistochemical and molecular findings of 14 cases, and the 2018 WHO Classification of Tumours of the Eye

Pta #b

In-situ Unmodc

In-situ Modd

Invasive Unmode

Invasive Modf

Stage, Grade (SCC)/ (ADC)g

Grouph

PNIi/LVIj

Immunohistochemistry In situ component Invasive component

MAML2 FISH

HPV status

        

CK7k

CK17k

BerEP4k

p16k

Ki67l

Posm/Negn

Pos/Neg (Assay)o

1

In-situ MECp, in-situ SCC

CIN-Mucq, in-situ SCC

No invasive

No invasive

Tis

NAv

NA

2 + /2+ NA

2+/3 + NA

0 NA

1+ /1 +  NA

30% NA

Neg

Neg (1)

2

In-situ MEC, in-situ SCC

CIN-Muc, in-situ SCC

No invasive

No invasive

Tis

NA

NA

3+ /2 +

3 + /3 + 

NPw

NP

NP

NP

NP

3

In-situ MEC, in-situ SCC

CIN-Muc, in-situ SCC

No invasive

No invasive

Tis

NA

NA

2+/1+

0

NP

NP

NP

Neg

NP

4

In-situ MEC, in-situ SCC

CIN-Muc, in-situ SCC

Basaloid SCC

Basaloid SCC

T2NxMx, G3/NAP

1

No/Yes

3+/4 + 3 + /4 + 

3+/2 + 2 + /1 + 

0 2 + /4+

3+/4 + 3 + 4 + 

60% 60%

Neg

Neg (2)

5

In-situ MEC, in-situ SCC

CIN-Muc, in-situ SCC

MEC, aSCCr

aSCC with muc dift

T4aNxMx, G2/G2

2

No/Yes

3 + /3 + 3 + /3 + 

2+/2 + 2 + /2 + 

0 1 + /1+

NP

NP

Neg

Neg (2)

6

In-situ SCC

In-situ SCC

MEC, aSCC

aSCC with muc dif

T4aN1M0, G2/NAP

2

No/Yes

2+/3 + 3 + /2 + 

2+/3 + 3 + /2 + 

0 0

3+/4 + 3 + /4 + 

60% 45%

Neg

Pos (3) HPV16

7

In-situ SCC

In-situ SCC

MEC, aSCC

aSCC with muc dif

T4aNxMx, G3/NAP

2

No/No

0 2 + /3+

3+/3 + 1 + /3 + 

0 0

3+/1 + 2 + /1 + 

50% 45%

Neg

NP

8

in-situ MEC

CIN-Muc

Mis-MEC

Mi-SCC with muc diff

pT2NxMx, G2/NAP

2

No/No

3+/2 + 2 + /3 + 

2+/2 + 2 + /2 + 

0 0

3+/4 + 3 + /4 + 

50% 50%

Neg

NP

9

In-situ MEC, in-situ SCC

CIN-Muc, in-situ SCC

MEC, SCC

aSCC with muc dif

T3N1Mx, G2/NAP

2

No/No

3+/2 + 4 + /4 + 

3+/3 + 0

3 + /2 + 2 + /3 + 

3 + /4 + 3 + /4 + 

40% 40%

Neg

Pos (1) HPV18

10

No in-situ

No in-situ

MEC

aSCC with muc dif

T1NxMx, G2/NAP

2

Yes/No

NA 1 + /1 + 

NA 1 + /1 + 

NA 2 + /4 + 

NA 0

NA 70%

Neg

Neg (1)

11

No in-situ

No in-situ

MEC

ASCu

T2NxMx, G2/G2

3

No/No

NA 3 + /2 + 

NA 3+/2+

NA 2+/2+

NA 2+/2+

NA 50%

Neg

Neg (1)

12

In-situ MEC, in-situ SCC

CIN-Muc, in-situ SCC

MEC, SCC

ASC

T4aNxMx, G2/G2

3

Yes/No

NP

NP

0 0

0 3+/1+

10% 20%

Neg

Neg (2)

13

In-situ MEC

CIN-Muc

MEC, SCC

ASC

T2NxMx, G3/G3

3

No/No

3+/4 + 3 + /4 + 

2+/4 + 2 + /4 + 

1+/4 + 1 + /4 + 

3+/4 + 3 + /4 + 

60% 60%

Neg

Neg (2,3)

14

No In-situ

No In-situ

MEC

ADC

T4aNxMx, NAP/G1

4

No/No

NA 3 + /4 + 

NA 2 + /4+

NA 1+/1+

NA 3+/2+

NA 10%

Neg

Neg (2)

  1. aPT = patient, b# = number, cIn-situ component unmodified terminology, dIn situ component modified terminology, eInvasive component unmodified terminology, fInvasive component modified terminology
  2. gPathologic staging and grading in accordance with the AJCC guidelines for conjunctival carcinoma [6]; Grading is performed in the squamous cell carcinoma (SCC) and adenocarcinoma (ADC) components of the lesion, when both components are present
  3. hGrouping of invasive carcinoma in accordance with modified terminology
  4. iPNI = perineural invasion, jLVI = lymphovascular space invasion
  5. kCK7, CK17, BerEP4, and p16—staining expressed as intensity [0, 1+ (mild), 2+ moderate), 3+ (strong)] / percentage of positive cells[0, 1+ (1–25%), 2+ (26–50%), 3 + (51–75%), 4 + (76–100%)]
  6. lKi67—staining recorded as absolute percentage of cells in the tumour
  7. mPos = pospositive, nNeg = negnegative
  8. oAssay – 1 =  PCR, 2 = CRRNAScope, 3 =  3HPVish
  9. pMEC= mucoepidermoid carcinoma, qCIN-Muc =  conjunctival intraepithelial neoplasia with mucinous differentiation, raSCC =  acantholytic squamous cell carcinoma, sMi = microinvasive, tmuc dif = mucinous differentiation, uASC = adenosquamous carcinoma
  10. vNA =  not applicable, wNP test not performed