PMID- 21914348 OWN - NLM STAT- MEDLINE DCOM- 20120227 LR - 20160818 IS - 0529-5807 (Print) IS - 0529-5807 (Linking) VI - 40 IP - 6 DP - 2011 Jun TI - [TMPRSS2-ERG gene fusion in metastatic prostate cancers: a study of fine needle aspiration specimens]. PG - 392-6 AB - OBJECTIVE: To investigate diagnostic values of the detection of TMPRSS2-ERG gene fusion in metastatic prostate cancer. METHODS: A total of 32 fine needle aspiration (FNA) specimens of metastatic prostate carcinomas were retrieved from the pathology files at MD Anderson Cancer Center. The metastatic sites included the pelvic and remote lymph nodes, liver, bone, and thyroid gland. Immunohistochemical staining for PSA, PAP, synaptophysin, chromogranin A was performed. TMPRSS2-ERG gene fusion was evaluated on sections of cell blocks by fluorescence in situ hybridization (FISH) using ERG gene break-apart probes. RESULTS: The mean age of the patients was 67 years. Twenty-six patients had a previous history of prostatic adenocarcinoma, while 6 patients presented initially with metastasis. In 11 patients, the metastatic lesions showed characteristic features of small cell carcinoma (SCC) and were positive for synaptophysin (9/9), chromogranin A (7/8), but negative for prostatic specific antigen (7/7). FISH analysis demonstrated a rearrangement of ERG gene in 10 of 32 cases (31.3%), and the rearrangement was associated with deletion of the 5' ERG gene in 6 cases. In addition, the copy number of ERG rearrangement gene locus was increased in 8 cases. Among the 11 cases with SCC features, a rearrangement of ERG gene was present in 5 cases, of which a deletion of the 5' ERG gene and increased copy number were seen in 3 cases. CONCLUSIONS: TMPRSS2-ERG gene fusion can be evaluated in FNA specimens of metastatic prostate cancer. Metastatic prostate cancers have a high prevalence of TMPRSS2-ERG gene fusion along with a frequent copy number increase of ERG gene. TMPRSS2-ERG gene fusion persists in metastatic prostate cancers and even in those with poorly differentiated SCC features. Therefore, an identification of the TMPRSS2-ERG gene fusion may be used to establish the prostatic origin of metastasis. FAU - Xiao, Li AU - Xiao L AD - Department of Pathology, Huadong Hospital, Fudan University, Shanghai 200040, China. FAU - Zhu, Xiong-zeng AU - Zhu XZ FAU - Wang, Yan AU - Wang Y FAU - Gong, Yun AU - Gong Y FAU - Guo, C Charles AU - Guo CC LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Bing Li Xue Za Zhi JT - Zhonghua bing li xue za zhi = Chinese journal of pathology JID - 0005331 RN - 0 (Chromogranin A) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Synaptophysin) RN - 0 (TMPRSS2-ERG fusion protein, human) RN - EC 3.1.3.2 (Acid Phosphatase) RN - EC 3.1.3.2 (prostatic acid phosphatase) RN - EC 3.1.3.48 (Protein Tyrosine Phosphatases) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Acid Phosphatase MH - Adenocarcinoma/*genetics/metabolism/pathology/secondary/surgery MH - Aged MH - Aged, 80 and over MH - Biopsy, Fine-Needle MH - Carcinoma, Small Cell/genetics/metabolism/pathology/secondary/surgery MH - Chromogranin A/metabolism MH - Follow-Up Studies MH - *Gene Fusion MH - Gene Rearrangement MH - Humans MH - In Situ Hybridization, Fluorescence MH - Liver Neoplasms/genetics/metabolism/pathology/*secondary/surgery MH - Lymphatic Metastasis MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics/metabolism MH - Prostate-Specific Antigen/metabolism MH - Prostatic Neoplasms/*genetics/metabolism/pathology/surgery MH - Protein Tyrosine Phosphatases/metabolism MH - Synaptophysin/metabolism EDAT- 2011/09/15 06:00 MHDA- 2012/03/01 06:00 CRDT- 2011/09/15 06:00 PHST- 2011/09/15 06:00 [entrez] PHST- 2011/09/15 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] PST - ppublish SO - Zhonghua Bing Li Xue Za Zhi. 2011 Jun;40(6):392-6.