PMID- 25043949 OWN - NLM STAT- MEDLINE DCOM- 20150721 LR - 20211203 IS - 1098-2264 (Electronic) IS - 1045-2257 (Print) IS - 1045-2257 (Linking) VI - 53 IP - 11 DP - 2014 Nov TI - ZFP36-FOSB fusion defines a subset of epithelioid hemangioma with atypical features. PG - 951-9 LID - 10.1002/gcc.22206 [doi] AB - Epithelioid hemangioma (EH) is a benign neoplasm with distinctive vasoformative features, which occasionally shows increased cellularity, cytologic atypia, and/or loco-regional aggressive growth, resulting in challenging differential diagnosis from malignant vascular neoplasms. Based on two intraosseous EH index cases with worrisome histologic features, such as the presence of necrosis, RNA sequencing was applied for possible fusion gene discovery and potential subclassification of a novel atypical EH subset. A ZFP36-FOSB fusion was detected in one case, while a WWTR1-FOSB chimeric transcript in the other, both were further validated by fluorescence in situ hybridization (FISH) and reverse transcription polymerase chain reaction (RT-PCR). These abnormalities were then screened by FISH in 44 EH from different locations with seven additional EH revealing FOSB gene rearrangements, all except one being fused to ZFP36. Interestingly, 4/6 penile EH studied showed FOSB abnormalities. Although certain atypical histologic features were observed in the FOSB-rearranged EH, including solid growth, increased cellularity, mild to moderate nuclear pleomorphism, and necrosis in 3/9 cases, no overt sarcomatous areas were discerned to objectively separate the lesions from the fusion-negative EH. No patient has developed recurrence to date, but the follow-up was relatively limited and short to draw definitive conclusions regarding behavior. Although FOSB-rearranged EH do not show significant morphologic overlap with SERPINE1-FOSB fusion-positive pseudomyogenic hemangioendothelioma, FOSB oncogenic activation is emerging as an important event in these benign and intermediate groups of vascular tumors. CI - (c) 2014 Wiley Periodicals, Inc. FAU - Antonescu, Cristina R AU - Antonescu CR AD - Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY. FAU - Chen, Hsiao-Wei AU - Chen HW FAU - Zhang, Lei AU - Zhang L FAU - Sung, Yun-Shao AU - Sung YS FAU - Panicek, David AU - Panicek D FAU - Agaram, Narasimhan P AU - Agaram NP FAU - Dickson, Brendan C AU - Dickson BC FAU - Krausz, Thomas AU - Krausz T FAU - Fletcher, Christopher D AU - Fletcher CD LA - eng GR - P01CA47179/CA/NCI NIH HHS/United States GR - P50 CA 140146-01/CA/NCI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - P01 CA047179/CA/NCI NIH HHS/United States GR - P50 CA140146/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20140718 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (FOSB protein, human) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (Oncogene Proteins, Fusion) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 0 (Proto-Oncogene Proteins c-fos) RN - 0 (SERPINE1 protein, human) RN - 0 (Trans-Activators) RN - 0 (Transcription Factors) RN - 0 (Transcriptional Coactivator with PDZ-Binding Motif Proteins) RN - 0 (Tristetraprolin) RN - 0 (WWTR1 protein, human) RN - 0 (ZFP36 protein, human) RN - 0 (ZFP36-FOSB fusion protein, human) SB - IM MH - Adult MH - Child MH - Female MH - *Gene Fusion MH - Hemangioendothelioma, Epithelioid/*genetics/pathology MH - Humans MH - Intracellular Signaling Peptides and Proteins/genetics MH - Male MH - Middle Aged MH - Oncogene Proteins, Fusion/*genetics MH - Plasminogen Activator Inhibitor 1/genetics MH - Proto-Oncogene Proteins c-fos/*genetics MH - Sequence Analysis, RNA MH - Trans-Activators MH - Transcription Factors MH - Transcriptional Coactivator with PDZ-Binding Motif Proteins MH - Tristetraprolin/*genetics MH - Vascular Neoplasms/*genetics/pathology PMC - PMC4229947 MID - NIHMS640230 COIS- Conflict of interest: none EDAT- 2014/07/22 06:00 MHDA- 2015/07/22 06:00 PMCR- 2014/11/13 CRDT- 2014/07/22 06:00 PHST- 2014/06/20 00:00 [received] PHST- 2014/07/03 00:00 [accepted] PHST- 2014/07/22 06:00 [entrez] PHST- 2014/07/22 06:00 [pubmed] PHST- 2015/07/22 06:00 [medline] PHST- 2014/11/13 00:00 [pmc-release] AID - 10.1002/gcc.22206 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2014 Nov;53(11):951-9. doi: 10.1002/gcc.22206. Epub 2014 Jul 18.