Head and Neck Pathology

, 3:212

Fascin Over Expression is Associated with Dysplastic Changes in Sinonasal Inverted Papillomas: A Study of 47 Cases

  • Hope H. Wu
  • Samiah Zafar
  • Youming Huan
  • Herman Yee
  • Luis Chiriboga
  • Beverly Y. Wang
Original Paper


Sinonasal inverted papilloma (IP) is a primary benign lesion with a tendency for local recurrence. Malignant transformation may develop in up to 15% of cases. Fascin (Fascin 1) is an actin cross-link binding protein required for the formation of actin-based cell-surface protrusions and cell motility. Fascin up-regulation in lung, gastric, breast and hepatobiliary carcinomas correlates with aggressiveness and decreased survival. Here we evaluate immunohistochemical expression of fascin in 47 sinonasal IPs from 34 patients. Fascin over-expression is significantly more common in sinonasal IP with high-grade dysplasia than in those with no dysplastic or low-grade dysplastic epithelium (P = 0.0001). No significant change in fascin expression is seen with recurrence. Over expression of fascin in high-grade dysplastic epithelium in IP may be associated with tumor progression and malignant transformation.


Fascin Sinonasal inverted papilloma Dysplasia Malignant transformation Immunohistochemistry 


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Copyright information

© Humana 2009

Authors and Affiliations

  • Hope H. Wu
    • 1
  • Samiah Zafar
    • 1
  • Youming Huan
    • 2
  • Herman Yee
    • 1
  • Luis Chiriboga
    • 1
  • Beverly Y. Wang
    • 1
  1. 1.Department of PathologyNew York University School of MedicineNew YorkUSA
  2. 2.Department of PathologyMount Sinai School of MedicineNew YorkUSA

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