PMID- 15714060 OWN - NLM STAT- MEDLINE DCOM- 20050630 LR - 20191109 IS - 1052-9551 (Print) IS - 1052-9551 (Linking) VI - 14 IP - 1 DP - 2005 Mar TI - Molecular diagnosis of Ewing's sarcoma/primitive neuroectodermal tumor in formalin-fixed paraffin-embedded tissues by RT-PCR and fluorescence in situ hybridization. PG - 23-8 AB - Recent studies have suggested that formalin-fixed paraffin-embedded (FFPE) tissues can be used for molecular analyses by fluorescence in situ hybridization (FISH) and RT-PCR. We analyzed 18 cases of ES/PNET for the t(11;22)(q24;q12) and t(21;22)(q22;q12) fusion transcripts by RT-PCR and analyzed for EWS translocation by interphase FISH with a dual color fusion probe to compare these two approaches directly. RT-PCR detected 13 (72%) EWS-FLI-1 fusions (type I=10, type II=3) and 2 (11%) EWS-ERG fusions. Three cases could not be evaluated because the housekeeping gene phosphoglycerate kinase (internal mRNA control) was not amplified. FISH was diagnostic in 15 of 18 cases (83%). There were three discordant cases between RT-PCR and FISH (concordance of 83%). Using a combination of RT-PCR and FISH, the results were complementary. One advantage of RT-PCR analysis was that subtypes of EWS translocation could be determined specifically (type I, type II and ERG). These findings indicate that because of the difficulties and limitations associated with the molecular analysis of FFPE tissues, a combination of RT-PCR and FISH may be a better approach to enhance the sensitivity and accuracy of detecting ES/PNET translocations in FFPE tissues with suboptimally preserved nucleic acids. FAU - Qian, Xiang AU - Qian X AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota 55905, USA. FAU - Jin, Long AU - Jin L FAU - Shearer, Brandon M AU - Shearer BM FAU - Ketterling, Rhett P AU - Ketterling RP FAU - Jalal, Syed M AU - Jalal SM FAU - Lloyd, Ricardo V AU - Lloyd RV LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Diagn Mol Pathol JT - Diagnostic molecular pathology : the American journal of surgical pathology, part B JID - 9204924 RN - 0 (DNA Primers) RN - 0 (DNA, Neoplasm) RN - 0 (EWS-ERG fusion protein, human) RN - 0 (EWS-FLI fusion protein) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Proto-Oncogene Protein c-fli-1) RN - 0 (RNA-Binding Protein EWS) RN - 0 (Transcription Factors) RN - 1HG84L3525 (Formaldehyde) SB - IM MH - Base Sequence MH - Chromosomes, Human, Pair 11/genetics MH - Chromosomes, Human, Pair 21/genetics MH - Chromosomes, Human, Pair 22/genetics MH - DNA Primers/genetics MH - DNA, Neoplasm/genetics MH - Formaldehyde MH - Humans MH - In Situ Hybridization, Fluorescence/*methods/statistics & numerical data MH - Interphase MH - Neuroectodermal Tumors, Primitive, Peripheral/*diagnosis/*genetics MH - Oncogene Proteins, Fusion/genetics MH - Paraffin Embedding MH - Proto-Oncogene Protein c-fli-1 MH - RNA-Binding Protein EWS MH - Reverse Transcriptase Polymerase Chain Reaction/*methods/statistics & numerical data MH - Sarcoma, Ewing/*diagnosis/*genetics MH - Sensitivity and Specificity MH - Tissue Fixation MH - Transcription Factors/genetics MH - Translocation, Genetic EDAT- 2005/02/17 09:00 MHDA- 2005/07/01 09:00 CRDT- 2005/02/17 09:00 PHST- 2005/02/17 09:00 [pubmed] PHST- 2005/07/01 09:00 [medline] PHST- 2005/02/17 09:00 [entrez] AID - 00019606-200503000-00004 [pii] AID - 10.1097/01.pdm.0000140192.27878.97 [doi] PST - ppublish SO - Diagn Mol Pathol. 2005 Mar;14(1):23-8. doi: 10.1097/01.pdm.0000140192.27878.97.