PMID- 18677380 OWN - NLM STAT- MEDLINE DCOM- 20100615 LR - 20220311 IS - 1671-167X (Print) IS - 1671-167X (Linking) VI - 40 IP - 4 DP - 2008 Aug 18 TI - [Application of the in situ hybridization with EWS dual-color break-apart fluorescence probe and anti-CD99 and anti-FLI-1 antibodies in the diagnosis of Ewing's sarcoma/primitive neuroectodermal tumor]. PG - 358-62 AB - OBJECTIVE: To investigate the value of using EWS dual-color, break-apart rearrangement probe fluorescence in situ hybridization (FISH) technique, CD99 and FLI-1 antibodies immunohistochemistry in the diagnosis of Ewing's sarcoma/primitive neuroectodermal tumor (EWS/PNET). METHODS: Thirty-five cases of EWS/PNET and 24 cases of non-EWS/PNET small round cell tumor were analyzed by FISH and immunohistochemically detected with FLI-1 and CD99 antibodies. Comparison between FISH and immunohistochemical results was carried out and their diagnostic value was evaluated. RESULTS: The sensitivity, specificity, positive predictive value and negative predictive value of FISH in EWS/PNET were 93.8%(30/32), 81.8%(18/22), 88.2%(30/34) and 90%(18/20); those of CD99 were 100%(35/35), 58.3% (14/24), 77.8%(35/45) and 100%(14/14); those of FLI-1 were 71.4%(25/35), 62.5%(15/24), 73.5%(25/34), 60%(15/25), respectively. The sensitivity, specificity, positive predictive value and negative predictive value of combined use of CD99 and FLI-1 were 71.4%(25/35), 75%(18/24), 80.6%(25/31) and 64.3%(18/28), those of combined use of FLI-1 and FISH were 68.7%(22/32), 86.4%(19/22), 88%(22/25) and 65.5%(19/29), those of combined use of CD99 and FISH were 93.7%(30/32), 95.5%(21/22), 96.8%(30/31) and 91.3%(21/23), respectively. CONCLUSION: EWS dual-color, break-apart rearrangement probe FISH is a highly sensitive and specific technique in the diagnosis of EWS/PNET. The combination of CD99 and FISH is the method of choice for the diagnosis of EWS/PNET. The combination of CD99 and FLI-1 can improve the specificity in EWS/PNET without the data of FISH. FAU - Liu, Bao-yue AU - Liu BY AD - Department of Pathology, Peking University School of Basic Medical Sciences, Beijing, China. FAU - Yang, Yu AU - Yang Y FAU - DU, Juan AU - DU J FAU - Zhang, Yan AU - Zhang Y FAU - Wang, Hua AU - Wang H FAU - Zheng, Jie AU - Zheng J LA - chi PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - China TA - Beijing Da Xue Xue Bao Yi Xue Ban JT - Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences JID - 101125284 RN - 0 (12E7 Antigen) 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 (RNA-Binding Protein EWS) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (Trans-Activators) SB - IM MH - 12E7 Antigen 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 - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Microfilament Proteins/*immunology MH - Neuroectodermal Tumors, Primitive, Peripheral/*diagnosis/genetics/immunology MH - Predictive Value of Tests MH - RNA-Binding Protein EWS/*immunology MH - Receptors, Cytoplasmic and Nuclear/*immunology MH - Sarcoma, Ewing/*diagnosis/genetics/immunology MH - Sensitivity and Specificity MH - Trans-Activators EDAT- 2008/08/05 09:00 MHDA- 2010/06/16 06:00 CRDT- 2008/08/05 09:00 PHST- 2008/08/05 09:00 [pubmed] PHST- 2010/06/16 06:00 [medline] PHST- 2008/08/05 09:00 [entrez] PST - ppublish SO - Beijing Da Xue Xue Bao Yi Xue Ban. 2008 Aug 18;40(4):358-62.