PMID- 20712646 OWN - NLM STAT- MEDLINE DCOM- 20101216 LR - 20191210 IS - 1440-1827 (Electronic) IS - 1320-5463 (Linking) VI - 60 IP - 9 DP - 2010 Sep TI - Diagnostic utility of EWS break-apart fluorescence in situ hybridization in distinguishing between non-cutaneous melanoma and clear cell sarcoma. PG - 608-13 LID - 10.1111/j.1440-1827.2010.02570.x [doi] AB - Clear cell sarcoma (CCS) is a rare soft tissue sarcoma with morphological similarities to malignant melanoma (MM), but with a distinct genetic background that includes the chromosomal translocation t(12;22)(q13;q12). Clear cell sarcoma is often misdiagnosed as MM because of similarities in target locations and immunophenotypes. Eighteen cases with MM in non-cutaneous sites were subjected to fluorescence in situ hybridization (FISH) to assess EWS gene breakage. Tissue microarrays were constructed using formalin-fixed, paraffin-embedded tissue and the EWSR1 (22q12) dual-color, break-apart rearrangement probe (Vysis) was used. Two patients were classified as CCS with EWS gene rearrangement, with a mean of 67.5% positive cells per sample according to break-apart FISH. The remaining 16 patients lacked break-apart signals of the EWS gene. The presence of type 1 (EWS exon 8-ATF1 exon 4) fusion transcripts was confirmed in FISH-positive patients by RT-PCR. Retrospective analysis revealed that the masses were located in the foot and buttock, respectively. Morphologically, tumor cells were not typical for those of CCS or MM. Break-apart FISH is an accurate and convenient method for differentiating between MM and CCS. Molecular detection of EWS gene rearrangement, either by break-apart FISH or RT-PCR, is mandatory in subjects with melanotic tumors of soft tissue. FAU - Song, Joon Seon AU - Song JS AD - Department of Pathology, University of Ulsan College of Medicine, Asan Medical Center, Songpa-gu, Seoul, Korea. FAU - Choi, Jene AU - Choi J FAU - Kim, Ji Hun AU - Kim JH FAU - Jang, Se Jin AU - Jang SJ FAU - Cho, Kyung-Ja AU - Cho KJ LA - eng PT - Evaluation Study PT - Journal Article PL - Australia TA - Pathol Int JT - Pathology international JID - 9431380 RN - 0 (RNA-Binding Protein EWS) SB - IM MH - Adult MH - Aged MH - Diagnosis, Differential MH - Exons/genetics MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Melanoma/*diagnosis/genetics MH - Middle Aged MH - Oligonucleotide Array Sequence Analysis MH - RNA-Binding Protein EWS/*genetics MH - Retrospective Studies MH - Sarcoma, Clear Cell/*diagnosis/genetics MH - Soft Tissue Neoplasms/*diagnosis/genetics MH - Translocation, Genetic/genetics EDAT- 2010/08/18 06:00 MHDA- 2010/12/17 06:00 CRDT- 2010/08/18 06:00 PHST- 2010/08/18 06:00 [entrez] PHST- 2010/08/18 06:00 [pubmed] PHST- 2010/12/17 06:00 [medline] AID - PIN2570 [pii] AID - 10.1111/j.1440-1827.2010.02570.x [doi] PST - ppublish SO - Pathol Int. 2010 Sep;60(9):608-13. doi: 10.1111/j.1440-1827.2010.02570.x.