PMID- 11391597 OWN - NLM STAT- MEDLINE DCOM- 20010628 LR - 20191210 IS - 0008-543X (Print) IS - 0008-543X (Linking) VI - 91 IP - 11 DP - 2001 Jun 1 TI - Acquisition of secondary structural chromosomal changes in pediatric ewing sarcoma is a probable prognostic factor for tumor response and clinical outcome. PG - 2156-64 AB - BACKGROUND: The Ewing sarcoma (ES) group of tumors commonly have the t(11;22)(q24;q12) or other rearrangements involving 22q12. In addition to these consistent aberrations, both numeric and structural aberrations have been reported: namely gains of chromosomes 8 and 12, the unbalanced translocation t(1;16), and deletions at the short arm of chromosome 1. METHODS: To evaluate the frequency and to study the prognostic implications of some of these aberrations in children, the authors performed a pilot study of 26 ES pediatric patients by classic cytogenetics and/or interphase fluorescence in situ hybridization (FISH) and compared these data with clinical parameters. RESULTS: Gains of chromosomes 8 and 12 were detected, by interphase FISH, in 48% (10 of 21) and 38% (6 of 16) of the tumors, respectively, and this was not significant with respect to treatment response. Statistical analysis revealed that the presence of additional secondary structural chromosomal aberrations was associated with an unfavorable outcome (P = 0.0034 as an independent prognostic value as an unfavorable marker). Presence of metastasis at diagnosis also was found to be associated with poor outcome (P = 0.0131). Spectral karyotyping analysis was shown to facilitate the detection of more complex structural chromosomal aberrations in a representative ES tumor. CONCLUSIONS: It is important to determine whether additional structural chromosomal aberrations are present in ES tumors because it appears that a more complex karyotype with multiple chromosomal aberrations is associated with poor outcome in ES. CI - Copyright 2001 American Cancer Society. FAU - Zielenska, M AU - Zielenska M AD - Department of Laboratory Medicine and Pathobiology, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. FAU - Zhang, Z M AU - Zhang ZM FAU - Ng, K AU - Ng K FAU - Marrano, P AU - Marrano P FAU - Bayani, J AU - Bayani J FAU - Ramirez, O C AU - Ramirez OC FAU - Sorensen, P AU - Sorensen P FAU - Thorner, P AU - Thorner P FAU - Greenberg, M AU - Greenberg M FAU - Squire, J A AU - Squire JA LA - eng PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Cancer JT - Cancer JID - 0374236 SB - IM MH - Adolescent MH - Bone Neoplasms/*genetics/pathology MH - Child MH - Child, Preschool MH - Chromosome Aberrations/*genetics MH - Chromosomes, Human, Pair 1/*genetics MH - Chromosomes, Human, Pair 12/*genetics MH - Chromosomes, Human, Pair 8/*genetics MH - Female MH - Follow-Up Studies MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Karyotyping MH - Male MH - Prognosis MH - Sarcoma, Ewing/*genetics/pathology MH - Survival Analysis MH - Treatment Outcome EDAT- 2001/06/08 10:00 MHDA- 2001/06/29 10:01 CRDT- 2001/06/08 10:00 PHST- 2001/06/08 10:00 [pubmed] PHST- 2001/06/29 10:01 [medline] PHST- 2001/06/08 10:00 [entrez] AID - 10.1002/1097-0142(20010601)91:11<2156::AID-CNCR1244>3.0.CO;2-I [pii] AID - 10.1002/1097-0142(20010601)91:11<2156::aid-cncr1244>3.0.co;2-i [doi] PST - ppublish SO - Cancer. 2001 Jun 1;91(11):2156-64. doi: 10.1002/1097-0142(20010601)91:11<2156::aid-cncr1244>3.0.co;2-i.