Publications by authors named "Gauri Munjal"

Objectives: Penile squamous cell carcinomas (PCs) are rare malignancies with a dismal prognosis in a metastatic setting; therefore, novel immunotherapeutic modalities are an unmet need. One such modality is the immune checkpoint molecule programmed cell death ligand 1 (PD-L1). We sought to analyze PD-L1 expression and its correlation with various clinicopathologic parameters in a contemporary cohort of 134 patients with PC.

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Spindle cell/sclerosing rhabdomyosarcoma is a rare neoplasm and has an aggressive clinical course. Because of its rarity, we performed a multi-institutional collaboration to comprehend the overarching clinical, histopathological, and immunohistochemical characteristics of a cohort of spindle cell/sclerosing rhabdomyosarcoma. Forty-five patients with spindle cell/sclerosing rhabdomyosarcoma were identified.

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Primary renal synovial sarcoma is a rare aggressive mesenchymal neoplasm of the kidney that accounts for less than 1% of renal sarcomas. Herein, we describe the clinicopathologic and molecular findings of 14 renal synovial sarcoma patients in one of the largest case series to date and to our knowledge, the only renal synovial sarcoma series to use novel SS18-SSX IHC. Clinicopathologic, IHC, molecular, management, and follow-up data were reviewed and analyzed.

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Article Synopsis
  • * A total of 374 cases were analyzed, revealing that IHC provided high sensitivity but lower specificity for detecting gene alterations, with certain false positives and false negatives identified.
  • * The findings suggest that while IHC is a good initial screening tool due to its sensitivity, all positive IHC results should be confirmed with FISH testing for more accurate diagnosis.
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Article Synopsis
  • - The study focused on a rare form of solitary fibrous tumors (SFT) originating from the adrenal gland, involving nine patients, to investigate their demographics, clinical features, and follow-up data.
  • - All tumors showed typical spindle cell characteristics, and most patients were categorized as low-risk for recurrence or metastasis after surgical treatment, with a follow-up showing no disease recurrence.
  • - This research represents the largest collection of adrenal SFT cases to date, highlighting their generally benign nature and confirming the presence of specific markers like STAT6 in these tumors.
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Neuroendocrine differentiation in the prostate gland ranges from clinically insignificant neuroendocrine differentiation detected with markers in an otherwise conventional prostatic adenocarcinoma to a lethal high-grade small/large cell neuroendocrine carcinoma. The concept of neuroendocrine differentiation in prostatic adenocarcinoma has gained considerable importance due to its prognostic and therapeutic ramifications and pathologists play a pivotal role in its recognition. However, its awareness, reporting, and resource utilization practice patterns among pathologists are largely unknown.

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Meningeal Rosai-Dorfman disease, a type of sporadic Rosai-Dorfman disease, is a rare occurrence. A few cases are reported in the English literature with an adequate immunohistochemical workup. This entity clinically and radiologically mimics either a meningeal or a parenchymal neoplasm with meningeal extension, warranting a thorough histopathologic evaluation.

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