PMID- 24659226 OWN - NLM STAT- MEDLINE DCOM- 20140903 LR - 20211021 IS - 1432-2307 (Electronic) IS - 0945-6317 (Linking) VI - 465 IP - 1 DP - 2014 Jul TI - Atypical spindle cell lipoma: a clinicopathologic, immunohistochemical, and molecular study emphasizing its relationship to classical spindle cell lipoma. PG - 97-108 AB - We studied a series of spindle cell lipomas arising in atypical sites and showing unusual morphologic features (which we called atypical spindle cell lipoma) to assess if these lesions have the same chromosomal alterations as classical spindle cell lipoma but different from those found in atypical lipomatous tumor/well-differentiated liposarcoma. We investigated alterations of different genes in the 13q14 region and the amplification status of the MDM2 and CDK4 genes at 12q14-15 by multiplex ligation-dependent probe amplification (MLPA) and fluorescence in situ hybridization (FISH) analysis. In the atypical spindle cell lipomas, MLPA revealed deletions in the two nearest flanking genes of RB1 (ITM2B and RCBTB2) and in multiple important exons of RB1. In contrast, in classical spindle cell lipomas, a less complex loss of RB1 exons was found but no deletion of ITM2B and RCBTB2. Moreover, MLPA identified a deletion of the DLEU1 gene, a finding which has not been reported earlier. We propose an immunohistochemical panel for lipomatous tumors which comprises of MDM2, CDK4, p16, Rb, which we have found useful in discriminating between atypical or classical spindle cell lipomas and other adipocytic neoplasms, especially atypical lipomatous tumor/well-differentiated liposarcoma. Our findings strengthen the link between atypical spindle cell lipoma and classical spindle cell lipoma, and differentiate them from atypical lipomatous tumor/well-differentiated liposarcoma. FAU - Creytens, David AU - Creytens D FAU - van Gorp, Joost AU - van Gorp J FAU - Savola, Suvi AU - Savola S FAU - Ferdinande, Liesbeth AU - Ferdinande L FAU - Mentzel, Thomas AU - Mentzel T FAU - Libbrecht, Louis AU - Libbrecht L LA - eng PT - Journal Article PL - Germany TA - Virchows Arch JT - Virchows Archiv : an international journal of pathology JID - 9423843 RN - 0 (Biomarkers, Tumor) RN - 0 (Retinoblastoma Protein) RN - EC 2.3.2.27 (MDM2 protein, human) RN - EC 2.3.2.27 (Proto-Oncogene Proteins c-mdm2) RN - EC 2.7.11.22 (CDK4 protein, human) RN - EC 2.7.11.22 (Cyclin-Dependent Kinase 4) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Biomarkers, Tumor/*analysis/genetics MH - Cyclin-Dependent Kinase 4/genetics MH - Female MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Lipoma/genetics/*pathology MH - Liposarcoma/genetics/*pathology MH - Male MH - Middle Aged MH - Multiplex Polymerase Chain Reaction MH - Proto-Oncogene Proteins c-mdm2/genetics MH - Retinoblastoma Protein/genetics MH - Skin Neoplasms/genetics/pathology MH - Soft Tissue Neoplasms/genetics/*pathology EDAT- 2014/03/25 06:00 MHDA- 2014/09/04 06:00 CRDT- 2014/03/25 06:00 PHST- 2013/10/20 00:00 [received] PHST- 2014/03/06 00:00 [accepted] PHST- 2014/01/22 00:00 [revised] PHST- 2014/03/25 06:00 [entrez] PHST- 2014/03/25 06:00 [pubmed] PHST- 2014/09/04 06:00 [medline] AID - 10.1007/s00428-014-1568-8 [doi] PST - ppublish SO - Virchows Arch. 2014 Jul;465(1):97-108. doi: 10.1007/s00428-014-1568-8.