Original Contribution
Evaluation of Cyclin D1 Expression in Paediatric Common Solid Small
Round Cell Tumours
1.Dr. Md. Shahrior Nahid, MBBS, MD (Pathology), Medical Officer, Department of Pathology, National
Institute of Laboratory Medicine and Referral Centre (NILMRC), Dhaka-1207. shahrior.nahid@gmail.com
2. Prof. (Dr.) Ferdousy Begum, MBBS, MD (Pathology), Professor, Department of Pathology, Bangabandhu
Sheikh Mujib Medical University, Dhaka-1000.
3. Prof. (Dr.) Mohammed Shahed Ali Jinnah, MBBS, MD(Pathology), Professor, Department of Pathology,
National Institute of Laboratory Medicine and Referral Center, Sher-E-Bangla Nagar, Dhaka-1207.
4. Dr. Saumitra Chakravarty, MBBS, MD(Pathology), Assistant Professor, Department of Pathology,
Bangabandhu Sheikh Mujib Medical University, Dhaka-1000.
5. Dr. Arbin Siddiquea, MBBS, MD(Biochemistry), Lecturer, Department of Biochemistry, Shaheed
Suhrawardy Medical College, Dhaka-1207.
6. Dr. Abu Saeed Bin Hasem, MBBS, MD (Pathology), Lecturer, Department of Pathology, Sylhet MAG
Osmani Medical College.
7. Dr. Md. Shajjad Hossain, MBBS, MD(Pathology), Lecturer, Department of Pathology, Dhaka Dental
College, Dhaka.⃰
For correspondence
Abstract
Background: Small round blue cell tumors (SRBCTs) in children are a heterogeneous group of
neoplasms. Their diagnosis is very difficult due to their primitive character. Although the advent
of immunohistochemistry has improved the quality of diagnosis, some cases require molecular
analysis. However, the application of molecular tests is limited due to the lack of resources.
Nuclear expression of Cyclin D1 can be used as a diagnostic adjunct to conventional markers in
diagnosing small round cell tumors, especially when the diagnosis becomes difficult even
following the application of conventional markers.
Objectives: This study aimed to evaluate the immunoreactivity of Cyclin D1 in the common solid
small round blue cell tumors found in children below 15 years of age.
Methods: In this descriptive cross-sectional study, 64 confirmed (immunohistochemically and/or
morphologically) cases of SRBCTs including, Ewing sarcoma (31.25%), neuroblastoma (23.44%),
lymphoblastic lymphoma (21.87%), rhabdomyosarcoma (15.62%) and Wilms tumor (7.81%) in
children under 15 years were selected as samples by inclusion and exclusion criteria. Finally, the
immunoreactivity of Cyclin D1 in each case was assessed on the basis of staining pattern and
staining intensity.
Result: All cases of Ewing sarcoma and neuroblastoma exhibited nuclear expression for cyclin
D1. Seventy percent (14/20) of cases of Ewing sarcoma and 66.67% (10/15) of neuroblastoma
cases showed diffuse nuclear expression. Seventy percent (14/20) of cases of Ewing sarcoma and
93.33% (14/15) of neuroblastoma cases showed strong staining intensity (3+). In contrast, this
marker showed a negative reaction in rhabdomyosarcoma and lymphoblastic lymphoma, while it
was focally positive with moderate intensity in the blastemal component of 40% of cases of Wilms
tumor.
Conclusion: The present study suggests that cyclin D1 can be exploitable as a diagnostic adjunct
to conventional markers in confirming the diagnosis of Ewing sarcoma or Neuroblastoma.
[Journal of Histopathology and Cytopathology, 2023 Jul; 7 (2):69-79]
Keywords: Small round blue cell tumors (SRBCTs), Cyclin D1
Full Text
