PMID- 15899394 OWN - NLM STAT- MEDLINE DCOM- 20050705 LR - 20171116 IS - 0165-4608 (Print) IS - 0165-4608 (Linking) VI - 159 IP - 2 DP - 2005 Jun TI - Cytogenetic and molecular cytogenetic studies of a variant of t(21;22), ins(22;21)(q12;q21q22), with a deletion of the 3' EWSR1 gene in a patient with Ewing sarcoma. PG - 177-80 AB - Ewing sarcoma is the second most common malignant bone tumor in children and young adults. Cytogenetic analysis to identify a common t(11;22)(q23;q12) or less frequently a t(21;22)(q22;q12) or t(7;22)(p22;q12) plays an important role in the confirmation of the clinical diagnosis. We report a case of a 10-year-old female who had extraskeletal Ewing sarcoma. Conventional cytogenetic analysis revealed that 11 out of 20 cells had a derivative chromosome 22, possibly due to an insertion of the long arm of the 21q21 approximately q22. This finding was confirmed by fluorescence in situ hybridization (FISH) utilizing whole chromosome paint probes specific for chromosomes 21 and 22. Hybridization utilizing LSI EWSR1, dual-color break-apart rearrangement probe unexpectedly revealed that the 3' EWSR1 gene was lost on the derivative chromosome 22. This finding suggests that the insertion of chromosome 21 is another mechanism that could lead to EWS-ERG gene fusion. To our knowledge, this is the first case report of an insertion of a segment of 21q21 approximately q22 into the long arm of 21q12 with a loss of a DNA segment around the breakpoint on the derivative chromosome 22 in Ewing sarcoma. FAU - Lee, Jiyun AU - Lee J AD - Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA. FAU - Hopcus-Niccum, Deborah J AU - Hopcus-Niccum DJ FAU - Mulvihill, John J AU - Mulvihill JJ FAU - Li, Shibo AU - Li S LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Cancer Genet Cytogenet JT - Cancer genetics and cytogenetics JID - 7909240 RN - 0 (Calmodulin-Binding Proteins) RN - 0 (EWSR1 protein, human) RN - 0 (RNA-Binding Protein EWS) RN - 0 (RNA-Binding Proteins) SB - IM MH - Calmodulin-Binding Proteins/*genetics MH - Child MH - Chromosome Aberrations MH - *Chromosomes, Human, Pair 21 MH - *Chromosomes, Human, Pair 22 MH - Female MH - Gene Deletion MH - Humans MH - In Situ Hybridization, Fluorescence MH - Karyotyping MH - RNA-Binding Protein EWS MH - RNA-Binding Proteins/*genetics MH - Sarcoma, Ewing/*genetics MH - Thoracic Wall MH - Translocation, Genetic EDAT- 2005/05/19 09:00 MHDA- 2005/07/06 09:00 CRDT- 2005/05/19 09:00 PHST- 2004/10/08 00:00 [received] PHST- 2004/11/04 00:00 [revised] PHST- 2004/11/05 00:00 [accepted] PHST- 2005/05/19 09:00 [pubmed] PHST- 2005/07/06 09:00 [medline] PHST- 2005/05/19 09:00 [entrez] AID - S0165-4608(04)00534-5 [pii] AID - 10.1016/j.cancergencyto.2004.11.003 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2005 Jun;159(2):177-80. doi: 10.1016/j.cancergencyto.2004.11.003.