Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization

Background & Objective: Soft tissue sarcomas (STS) constitute an uncommon and heterogeneous group of tumors of mesenchymal origin and various cytogenetic abnormalities ranging from distinct genomic rearrangements, such as chromosomal translocations and amplifications, to more intricate rearrange...

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Main Authors: Farhad Shahi, Razieh Alishahi, Hossein Pashaiefar, Isa Jahanzad, Naser Kamalian, Ardeshir Ghavamzadeh, Marjan Yaghmaie
Format: Article
Language:English
Published: Iranian Society of Pathology 2017-07-01
Series:Iranian Journal of Pathology
Subjects:
Online Access:https://ijp.iranpath.org/article_25043_ac79674409a98de9ac72f09068eb05fa.pdf
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author Farhad Shahi
Razieh Alishahi
Hossein Pashaiefar
Isa Jahanzad
Naser Kamalian
Ardeshir Ghavamzadeh
Marjan Yaghmaie
author_facet Farhad Shahi
Razieh Alishahi
Hossein Pashaiefar
Isa Jahanzad
Naser Kamalian
Ardeshir Ghavamzadeh
Marjan Yaghmaie
author_sort Farhad Shahi
collection DOAJ
description Background & Objective: Soft tissue sarcomas (STS) constitute an uncommon and heterogeneous group of tumors of mesenchymal origin and various cytogenetic abnormalities ranging from distinct genomic rearrangements, such as chromosomal translocations and amplifications, to more intricate rearrangements involving multiple chromosomes. Fluorescence in situ hybridization (FISH) can be used to identify these chromosomal translocations and amplifications, and sub classify STS precisely. The current study aimed at investigating the usefulness of FISH, as a diagnostic ancillary aid, to detect cytogenetic abnormalities such as MDM2 (murine double minute 2) amplification and CHOP(C/EBP homologous protein) rearrangement in liposarcoma, as well as SYT (synaptotagmin) rearrangement in synovial sarcoma. Methods: The FISH technique was used to analyze 17 specimens of liposarcoma for MDM2 amplification and CHOP rearrangement, and 10 specimens of synovial sarcoma for SYT rearrangement. The subtypes of liposarcoma and synovial sarcomas were reclassified according to the FISH results and compared with those of the respective histological findings. Results: According to the FISH results in 17 liposarcoma cases, well-differentiated liposarcoma(WDLPS), dedifferentiated liposarcoma (DDLPS), and myxoidliposarcoma (MLPS)subtypes were 41%, 53%, and 6%, respectively. In different subtypes of liposarcoma, a total of 30% mismatches were observed between pathologic and cytogenetic results. According to the histological findings from FISH analysis, SYT rearrangement was found only in three out of 10 (30%) synovial sarcomas. Conclusion: The detection of cytogenetic abnormalities in patients with liposarcoma and synovial sarcoma by FISH technique provides an important objective tool to confirm sarcoma diagnosis and sub classification of specific sarcoma subtypes in such patients.
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spelling doaj.art-11d39c8cb51345e5a84a4b11a28194b02022-12-21T18:45:32ZengIranian Society of PathologyIranian Journal of Pathology1735-53032345-36562017-07-0112320921710.30699/ijp.2017.2504325043Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ HybridizationFarhad Shahi0Razieh Alishahi1Hossein Pashaiefar2Isa Jahanzad3Naser Kamalian4Ardeshir Ghavamzadeh5Marjan Yaghmaie6Dept. of Hematology and Medical Oncology, Cancer Research Center, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDept. of Biology, Faculty of Sciences, International Pardis, University of Guilan, Rasht, IranDept. of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDept. of Pathology, Cancer Research Center, Cancer Institute, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDept. of Pathology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, IranHematology, Oncology and Stem Cell Transplantation Research center, Tehran University of Medical Sciences, Tehran, IranHematology, Oncology and Stem Cell Transplantation Research center, Tehran University of Medical Sciences, Tehran, IranBackground & Objective: Soft tissue sarcomas (STS) constitute an uncommon and heterogeneous group of tumors of mesenchymal origin and various cytogenetic abnormalities ranging from distinct genomic rearrangements, such as chromosomal translocations and amplifications, to more intricate rearrangements involving multiple chromosomes. Fluorescence in situ hybridization (FISH) can be used to identify these chromosomal translocations and amplifications, and sub classify STS precisely. The current study aimed at investigating the usefulness of FISH, as a diagnostic ancillary aid, to detect cytogenetic abnormalities such as MDM2 (murine double minute 2) amplification and CHOP(C/EBP homologous protein) rearrangement in liposarcoma, as well as SYT (synaptotagmin) rearrangement in synovial sarcoma. Methods: The FISH technique was used to analyze 17 specimens of liposarcoma for MDM2 amplification and CHOP rearrangement, and 10 specimens of synovial sarcoma for SYT rearrangement. The subtypes of liposarcoma and synovial sarcomas were reclassified according to the FISH results and compared with those of the respective histological findings. Results: According to the FISH results in 17 liposarcoma cases, well-differentiated liposarcoma(WDLPS), dedifferentiated liposarcoma (DDLPS), and myxoidliposarcoma (MLPS)subtypes were 41%, 53%, and 6%, respectively. In different subtypes of liposarcoma, a total of 30% mismatches were observed between pathologic and cytogenetic results. According to the histological findings from FISH analysis, SYT rearrangement was found only in three out of 10 (30%) synovial sarcomas. Conclusion: The detection of cytogenetic abnormalities in patients with liposarcoma and synovial sarcoma by FISH technique provides an important objective tool to confirm sarcoma diagnosis and sub classification of specific sarcoma subtypes in such patients.https://ijp.iranpath.org/article_25043_ac79674409a98de9ac72f09068eb05fa.pdfliposarcomasynovial sarcomafishchopsytmdm2
spellingShingle Farhad Shahi
Razieh Alishahi
Hossein Pashaiefar
Isa Jahanzad
Naser Kamalian
Ardeshir Ghavamzadeh
Marjan Yaghmaie
Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization
Iranian Journal of Pathology
liposarcoma
synovial sarcoma
fish
chop
syt
mdm2
title Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization
title_full Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization
title_fullStr Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization
title_full_unstemmed Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization
title_short Differentiating and Categorizing of Liposarcoma and Synovial Sarcoma Neoplasms by Fluorescence in Situ Hybridization
title_sort differentiating and categorizing of liposarcoma and synovial sarcoma neoplasms by fluorescence in situ hybridization
topic liposarcoma
synovial sarcoma
fish
chop
syt
mdm2
url https://ijp.iranpath.org/article_25043_ac79674409a98de9ac72f09068eb05fa.pdf
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