PMID- 17163841 OWN - NLM STAT- MEDLINE DCOM- 20070116 LR - 20201209 IS - 0309-0167 (Print) IS - 0309-0167 (Linking) VI - 49 IP - 6 DP - 2006 Dec TI - Diagnostic utility of FLI-1 monoclonal antibody and dual-colour, break-apart probe fluorescence in situ (FISH) analysis in Ewing's sarcoma/primitive neuroectodermal tumour (EWS/PNET). A comparative study with CD99 and FLI-1 polyclonal antibodies. PG - 569-75 AB - AIMS: To compare the sensitivity and specificity of the recently commercially available FLI-1 monoclonal (FLI-1m) antibody with the currently used antibodies [CD99 and FLI-1 polyclonal (FLI-1p)] in the diagnosis of Ewing's sarcoma/primitive neuroectodermal tumour (EWS/PNET) and to determine the diagnostic value of the EWSR1 (22q12) dual-colour, break-apart rearrangement probe fluorescence in situ hybridization (FISH) technique. MATERIALS AND METHODS: Forty-three cases of well-documented EWS/PNET and 15 non-EWS/PNET cases were retrieved from the archival files. Immunohistochemistry (IHC) for FLI-1p, FLI-1m and FISH analysis was performed. RESULTS: The most sensitive and specific test panel for the diagnosis of EWS/PNET is the combination of CD99 and FLI-1p. FISH had a very high specificity (100%) but only a moderate sensitivity (50%). CONCLUSION: The combination of CD99 and FLI-1p is the method of choice for the diagnosis of EWS/PNET. EWRS1 (22q12) dual-colour, break-apart rearrangement probe FISH should be used as a confirmatory test in addition to CD99 and FLI1-p due to its high specificity. FAU - Mhawech-Fauceglia, P AU - Mhawech-Fauceglia P AD - Department of Pathology and Laboratory Medicine, Roswell Park Cancer Institute, Buffalo, NY 14263, USA. pmhawech1@yahoo.com FAU - Herrmann, F AU - Herrmann F FAU - Penetrante, R AU - Penetrante R FAU - Beck, A AU - Beck A FAU - Sait, S AU - Sait S FAU - Block, A M AU - Block AM FAU - Odunsi, K AU - Odunsi K FAU - Fisher, J AU - Fisher J FAU - Balos, L AU - Balos L FAU - Cheney, R T AU - Cheney RT LA - eng PT - Comparative Study PT - Journal Article PL - England TA - Histopathology JT - Histopathology JID - 7704136 RN - 0 (12E7 Antigen) RN - 0 (Actins) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Neoplasm) RN - 0 (Antigens, CD) RN - 0 (Biomarkers, Tumor) RN - 0 (CD99 protein, human) RN - 0 (Cell Adhesion Molecules) RN - 0 (FLII protein, human) RN - 0 (Microfilament Proteins) RN - 0 (Neoplasm Proteins) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (Trans-Activators) SB - IM MH - 12E7 Antigen MH - Actins MH - Algorithms MH - Antibodies, Monoclonal/*immunology MH - Antibodies, Neoplasm/immunology MH - Antigens, CD/*immunology MH - Biomarkers, Tumor/analysis/genetics MH - Bone Neoplasms/*diagnosis/genetics/immunology MH - Cell Adhesion Molecules/*immunology MH - Chromosome Aberrations MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Male MH - Microfilament Proteins/*genetics/*immunology MH - Neoplasm Proteins/immunology MH - Neuroectodermal Tumors, Primitive/*diagnosis/genetics/immunology MH - Predictive Value of Tests MH - ROC Curve MH - Receptors, Cytoplasmic and Nuclear/*genetics/*immunology MH - Sarcoma, Ewing/*diagnosis/genetics/immunology MH - Trans-Activators EDAT- 2006/12/14 09:00 MHDA- 2007/01/17 09:00 CRDT- 2006/12/14 09:00 PHST- 2006/12/14 09:00 [pubmed] PHST- 2007/01/17 09:00 [medline] PHST- 2006/12/14 09:00 [entrez] AID - HIS2535 [pii] AID - 10.1111/j.1365-2559.2006.02535.x [doi] PST - ppublish SO - Histopathology. 2006 Dec;49(6):569-75. doi: 10.1111/j.1365-2559.2006.02535.x.