PMID- 16778588 OWN - NLM STAT- MEDLINE DCOM- 20060727 LR - 20191110 IS - 1052-9551 (Print) IS - 1052-9551 (Linking) VI - 15 IP - 2 DP - 2006 Jun TI - Pitfalls in the detection of t(11;22) translocation by fluorescence in situ hybridization and RT-PCR: a single-blinded study. PG - 83-9 AB - The t(11;22) translocation is a diagnostic hallmark of various small round-cell tumors. This study correlates the performance of fluorescence in situ hybridization (FISH) and reverse transcription polymerase chain reaction (RT-PCR) in the detection of this translocation analyzing paraffin-embedded tissue specimens. As negative control samples, 10 cases of normal colon mucosa and 10 cases of colon carcinoma tissue were analyzed by FISH to determine a valid cutoff value for the diagnosis of a t(11;22) translocation. The mean number of false-positive nuclei differed significantly between disomic and polysomic control group cases (P=0.002). Therefore, the cutoff value was determined considering the pitfall polysomy. The analysis group consisted of 20 cases from the University of Dusseldorf and 10 cases from the University of Bonn. These cases were analyzed using PCR (Dusseldorf) and FISH (Bonn) using a single-blinded approach. Twenty-two cases (73.3%) were concordant in both methods. Five cases (16.7%) were discrepant, showing a positive result in FISH whereas PCR was negative. Three cases (10.0%) were analyzed by FISH, and PCR failed for nonoptimized tissue preparation. In conclusion, the detection of t(11;22) translocation is critically dependent on a thoroughly defined cutoff value for FISH and on appropriate tissue preparation for both methods. We recommend FISH as a sensitive screening tool in the detection of t(11;22) followed by subsequent PCR amplification of the specific chimeric transcript. FAU - Friedrichs, Nicolaus AU - Friedrichs N AD - Institute of Pathology, University of Bonn Medical School, Sigmund-Freud-Str. 25, D-53127 Bonn, Germany. nicolaus.friedrichs@ukb.uni-bonn.de FAU - Kriegl, Lydia AU - Kriegl L FAU - Poremba, Christopher AU - Poremba C FAU - Schaefer, Karl-Ludwig AU - Schaefer KL FAU - Gabbert, Helmut Erich AU - Gabbert HE FAU - Shimomura, Akihiko AU - Shimomura A FAU - Paggen, Ellen AU - Paggen E FAU - Merkelbach-Bruse, Sabine AU - Merkelbach-Bruse S FAU - Buettner, Reinhard AU - Buettner R LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study 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) SB - IM MH - Adult MH - Aged MH - Base Sequence MH - Carcinoma, Small Cell/diagnosis/genetics MH - Case-Control Studies MH - Chromosomes, Human, Pair 11/*genetics MH - Chromosomes, Human, Pair 22/*genetics MH - Colonic Neoplasms/diagnosis/genetics MH - DNA Primers/genetics MH - Humans MH - In Situ Hybridization, Fluorescence/*methods/statistics & numerical data MH - Predictive Value of Tests MH - Reverse Transcriptase Polymerase Chain Reaction/*methods/statistics & numerical data MH - Sarcoma, Small Cell/diagnosis/genetics MH - Single-Blind Method MH - *Translocation, Genetic EDAT- 2006/06/17 09:00 MHDA- 2006/07/28 09:00 CRDT- 2006/06/17 09:00 PHST- 2006/06/17 09:00 [pubmed] PHST- 2006/07/28 09:00 [medline] PHST- 2006/06/17 09:00 [entrez] AID - 00019606-200606000-00004 [pii] AID - 10.1097/00019606-200606000-00004 [doi] PST - ppublish SO - Diagn Mol Pathol. 2006 Jun;15(2):83-9. doi: 10.1097/00019606-200606000-00004.