PMID- 20231497 OWN - NLM STAT- MEDLINE DCOM- 20100413 LR - 20100316 IS - 1538-3652 (Electronic) IS - 0003-987X (Linking) VI - 146 IP - 3 DP - 2010 Mar TI - Sensitivity of fluorescence in situ hybridization for melanoma diagnosis using RREB1, MYB, Cep6, and 11q13 probes in melanoma subtypes. PG - 273-8 LID - 10.1001/archdermatol.2009.386 [doi] AB - OBJECTIVE: To evaluate the diagnostic sensitivity of fluorescence in situ hybridization (FISH) using probes targeting 6p25, 6q23, 11q13, and Cep6 in melanoma subtypes. DESIGN: Blinded comparison of chromosomal copy number changes detected using FISH targeting 6p25, 6q23, 11q13, and Cep6 in benign nevi and melanoma subtypes. SETTING: Dermatopathology Laboratory, Department of Dermatology, Northwestern University, Chicago, Illinois. PARTICIPANTS: One hundred ten individuals with benign nevi and 123 with melanoma (70 superficial spreading, 28 lentigo maligna, 22 nodular, and 3 acral lentiginous melanomas). MAIN OUTCOME MEASURES: Sensitivity of previously developed criteria using FISH using probes targeting 6p25, 6q23, 11q13, and Cep6 in the melanoma subtypes. RESULTS: Overall, sensitivity was 83.0% and specificity was 94.0%. The 6p25 gain criterion had the highest sensitivity overall and in each subtype. The assay was most sensitive in the subgroups of nodular and acral melanomas and least sensitive in the superficial spreading subtype. The 11q13 gain was more commonly seen in chronically sun-damaged skin and infrequently in non-chronically sun-damaged skin. CONCLUSIONS: Heterogeneous changes in melanoma occur at the molecular level, and the changes are different among melanoma subtypes. Clonal abnormalities in chromosome 6 with increased copies of the short arm relative to the long arm are common in all melanoma subtypes, suggesting that isochromosome 6 is common in all variants of cutaneous melanoma subtypes. An increase in copy number of 11q13 is most frequent in chronically sun-damaged melanomas. FAU - Gerami, Pedram AU - Gerami P AD - Department of Dermatology, Feinberg School of Medicine, Northwestern University, 676 N St Clair Street, Chicago, IL 60611, USA. Pedram.Gerami@nmff.org FAU - Mafee, Mariam AU - Mafee M FAU - Lurtsbarapa, Teekay AU - Lurtsbarapa T FAU - Guitart, Joan AU - Guitart J FAU - Haghighat, Zahra AU - Haghighat Z FAU - Newman, Marissa AU - Newman M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Dermatol JT - Archives of dermatology JID - 0372433 RN - 0 (DNA Probes) RN - 0 (DNA, Neoplasm) RN - 0 (DNA-Binding Proteins) RN - 0 (Proto-Oncogene Proteins c-myb) RN - 0 (RREB1 protein, human) RN - 0 (Transcription Factors) RN - 136601-57-5 (Cyclin D1) SB - IM MH - Aged MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 11 MH - Chromosomes, Human, Pair 6 MH - Cyclin D1/*genetics MH - DNA Probes MH - DNA, Neoplasm/*analysis MH - DNA-Binding Proteins/*genetics MH - Diagnosis, Differential MH - Female MH - Genetic Predisposition to Disease MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Melanoma/*diagnosis/genetics MH - Middle Aged MH - Proto-Oncogene Proteins c-myb/*genetics MH - Sensitivity and Specificity MH - Skin Neoplasms/*diagnosis/genetics MH - Transcription Factors/*genetics MH - Zinc Fingers EDAT- 2010/03/17 06:00 MHDA- 2010/04/14 06:00 CRDT- 2010/03/17 06:00 PHST- 2010/03/17 06:00 [entrez] PHST- 2010/03/17 06:00 [pubmed] PHST- 2010/04/14 06:00 [medline] AID - 146/3/273 [pii] AID - 10.1001/archdermatol.2009.386 [doi] PST - ppublish SO - Arch Dermatol. 2010 Mar;146(3):273-8. doi: 10.1001/archdermatol.2009.386.