PMID- 23363074 OWN - NLM STAT- MEDLINE DCOM- 20140410 LR - 20240503 IS - 1365-2990 (Electronic) IS - 0305-1846 (Print) IS - 0305-1846 (Linking) VI - 39 IP - 6 DP - 2013 Oct TI - 1p/19q testing has no significance in the workup of glioblastomas. PG - 706-17 LID - 10.1111/nan.12031 [doi] AB - AIMS: To determine whether testing for isolated 1p or 19q losses, or as a codeletion, has any significance in the workup of glioblastomas (GBMs). METHODS: Upfront 1p/19q testing by fluorescence in situ hybridization (FISH) and/or polymerase chain reaction (PCR)-based loss of heterozygosity (LOH) was done in 491 gliomas that were histologically diagnosed as GBMs. Outcomes were determined and measured against 1p/19q results. RESULTS: Twenty-eight showed apparent 1p/19q codeletion by either FISH and/or PCR-based LOH, but only 1/26 showed codeletion by both tests. Over 90% of tumours with apparent codeletion by either FISH or LOH also had 10q LOH and/or EGFR amplification, features inversely related to true whole-arm 1p/19q codeletion. Furthermore, only 1/28 tumours demonstrated an R132H IDH1 mutation. Neither 1p/19q codeletion by FISH nor LOH had an impact on GBM survival. Isolated losses of 1p or 19q also had no impact on survival. CONCLUSIONS: These data suggest that (i) 1p/19q testing is not useful on gliomas that are histologically GBMs; (ii) codeletion testing should be reserved only for cases with compatible morphology; and (iii) EGFR, 10q, and IDH1 testing can help act as safeguards against a false-positive 1p/19q result. CI - (c) 2013 The Authors. Neuropathology and Applied Neurobiology (c) 2013 British Neuropathological Society. FAU - Clark, K H AU - Clark KH AD - Department of Pathology, University of Pittsburgh, Pittsburgh, PA, USA. FAU - Villano, J L AU - Villano JL FAU - Nikiforova, M N AU - Nikiforova MN FAU - Hamilton, R L AU - Hamilton RL FAU - Horbinski, C AU - Horbinski C LA - eng GR - K08 CA155764/CA/NCI NIH HHS/United States GR - P20 RR020171/RR/NCRR NIH HHS/United States GR - 2P20 RR020171/RR/NCRR NIH HHS/United States GR - K08 CA155764-01A1/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - England TA - Neuropathol Appl Neurobiol JT - Neuropathology and applied neurobiology JID - 7609829 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Brain/pathology MH - Brain Neoplasms/*diagnosis/genetics/pathology MH - *Chromosome Deletion MH - *Chromosomes, Human, Pair 1 MH - *Chromosomes, Human, Pair 19 MH - Female MH - Genes, Neoplasm MH - Glioblastoma/*diagnosis/genetics/pathology MH - Humans MH - Male MH - Middle Aged MH - Young Adult PMC - PMC4095883 MID - NIHMS593525 OTO - NOTNLM OT - 1p/19q OT - FISH OT - LOH OT - glioblastoma EDAT- 2013/02/01 06:00 MHDA- 2014/04/11 06:00 PMCR- 2014/10/01 CRDT- 2013/02/01 06:00 PHST- 2012/05/31 00:00 [received] PHST- 2013/01/28 00:00 [accepted] PHST- 2013/02/01 06:00 [entrez] PHST- 2013/02/01 06:00 [pubmed] PHST- 2014/04/11 06:00 [medline] PHST- 2014/10/01 00:00 [pmc-release] AID - 10.1111/nan.12031 [doi] PST - ppublish SO - Neuropathol Appl Neurobiol. 2013 Oct;39(6):706-17. doi: 10.1111/nan.12031.