Figure 2.
Pathological evaluation of a patient with PIK3CAM1043V-mutated Langerhans cell histiocytosis. (A) Lung wedge biopsy showing infiltration of lung parenchyma by Langerhans cell histiocytosis (red oval) (H&E; 100× magnification). (B) CD1a immunohistochemistry confirming infiltration of lung parenchyma by Langerhans cell histiocytosis (red oval) (CD1a immunohistochemistry; 100× magnification). (C) Phospho-ERK1/2 (pERK1/2) immunohistochemistry demonstrating a lack of expression of pERK1/2 by the Langerhans cell histiocytosis of the patient (pERK1/2 immunohistochemistry; 100× magnification). (D) PIK3CA c.3127A>G; p.M1043V missense mutation detected by targeted next-generation sequencing of the Langerhans cell histiocytosis involving the lung biopsy of the patient that was absent in paired normal fingernail DNA.