PMID- 20513536 OWN - NLM STAT- MEDLINE DCOM- 20100617 LR - 20171116 IS - 1873-4456 (Electronic) IS - 0165-4608 (Linking) VI - 200 IP - 1 DP - 2010 Jul 1 TI - Cryptic EWSR1-FLI1 fusions in Ewing sarcoma: potential pitfalls in the diagnostic use of fluorescence in situ hybridization probes. PG - 60-4 LID - 10.1016/j.cancergencyto.2010.03.005 [doi] AB - Detection of EWSR1 translocations - particularly t(11;22)(q24;q12) - is of great value in the differential diagnosis of the Ewing family of tumors. We report two cases that highlight the problems and pitfalls of identifying Ewing tumors using conventional chromosome analysis and a commercial EWSR1 fluorescence in situ hybridization (FISH) probe. In both cases, the tumor karyotype was abnormal, but a visible t(11;22)(q24;q12) was not present. The commercial EWSR1 "break-apart" probe was not split in either case. Reverse-transcriptase polymerase chain reaction (RT-PCR) analysis, however, identified EWSR1-FLI1 fusion transcripts in both tumors, and the gene fusions were corroborated by FISH analysis with "in house" probes and confirmed by sequencing RT-PCR products. The occurrence of cryptic EWSR1-FLI1 fusions mandates that RT-PCR should be performed, particularly in those cases in which the genetic findings are not in agreement with the histologic picture. CI - 2010 Elsevier Inc. All rights reserved. FAU - Newby, Rachel AU - Newby R AD - Institute for Human Genetics, Central Parkway, Newcastle upon Tyne, United Kingdom. FAU - Rowe, David AU - Rowe D FAU - Paterson, Lindsay AU - Paterson L FAU - Farquharson, Maura A AU - Farquharson MA FAU - MacDuff, Elaine AU - MacDuff E FAU - Coupe, Amanda AU - Coupe A FAU - Hale, Juliet AU - Hale J FAU - Dildey, Petra AU - Dildey P FAU - Bown, Nick AU - Bown N LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't 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 (FLI1 protein, human) RN - 0 (Proto-Oncogene Protein c-fli-1) RN - 0 (RNA-Binding Protein EWS) RN - 0 (RNA-Binding Proteins) SB - IM MH - Adolescent MH - Bone Neoplasms/*genetics MH - Calmodulin-Binding Proteins/*genetics MH - Female MH - *Gene Fusion MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Middle Aged MH - Proto-Oncogene Protein c-fli-1/*genetics MH - RNA-Binding Protein EWS MH - RNA-Binding Proteins/*genetics MH - Reverse Transcriptase Polymerase Chain Reaction MH - Sarcoma, Ewing/genetics EDAT- 2010/06/02 06:00 MHDA- 2010/06/18 06:00 CRDT- 2010/06/02 06:00 PHST- 2009/10/23 00:00 [received] PHST- 2010/03/08 00:00 [revised] PHST- 2010/03/16 00:00 [accepted] PHST- 2010/06/02 06:00 [entrez] PHST- 2010/06/02 06:00 [pubmed] PHST- 2010/06/18 06:00 [medline] AID - S0165-4608(10)00117-2 [pii] AID - 10.1016/j.cancergencyto.2010.03.005 [doi] PST - ppublish SO - Cancer Genet Cytogenet. 2010 Jul 1;200(1):60-4. doi: 10.1016/j.cancergencyto.2010.03.005.