Peer-Reviewed Publication
Virchows Arch2026September 23, 2026Journal Article

Sinonasal POU2AF3 (COLCA2)-rearranged carcinomas: a study of 11 aggressive tumors with findings supporting classification as solid adenoid cystic carcinoma.

Sintawat Wangsiricharoen1, Kelly E Craven2, Kristina M Wakeman1, James E Davis1, Lindsey O Lowder3, Evan Raps4, Tiffany G Baker5, Morgan Blakely6, Ross J Taliano7, Sara Amin8,9, Mena Mansour8, Gerben E Breimer10, Abbas Agaimy11,12, Justin A Bishop13
1Department of Pathology and Laboratory Medicine, Oregon Health & Science University, Portland, OR, USA.
2Caris Life Sciences, Pheonix, AZ, USA.
3Department of Pathology, Piedmont Atlanta Hospital, Atlanta, GA, USA.
4Department of Pathology, University of Utah, Salt Lake City, UT, USA.
5Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC, USA.
6The Permanente Medical Group, Kaiser Santa Clara, Santa Clara, CA, USA.
7Department of Pathology, Warren Alpert Medical School of Brown University, Providence, RI, USA.
8Division of Pathology and Laboratory Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
9Department of Pathology, University of Texas Southwestern Medical Center, 6201 Harry Hines Blvd, Dallas, TX, 75390, USA.
10Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
11Institute of Pathology, Erlangen University Hospital, Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany.
12Comprehensive Cancer Center European Metropolitan Area Erlangen-Nuremberg, Erlangen, Germany.
13Department of Pathology, University of Texas Southwestern Medical Center, 6201 Harry Hines Blvd, Dallas, TX, 75390, USA. Justin.A.Bishop@utsouthwestern.edu.

Abstract

POU class 2 homeobox associated factor (POU2AF3) is a gene that has been associated with increased risk of colon cancer. Recently, colleagues have reported recurrent EWSR1/FUS::POU2AF3 fusions in undifferentiated spindle cell/round cell sarcomas with a predilection for the sinonasal tract. We report 11 sinonasal POU2AF3-rearranged carcinomas that are distinct from the EWSR1/FUS::POU2AF3 sarcomas.…

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