PMID- 25312298 OWN - NLM STAT- MEDLINE DCOM- 20150727 LR - 20141127 IS - 1365-4632 (Electronic) IS - 0011-9059 (Linking) VI - 53 IP - 12 DP - 2014 Dec TI - Dual-color, break-apart fluorescence in situ hybridization probe for distinguishing clear cell sarcoma of soft tissue from malignant melanoma. PG - 1464-7 LID - 10.1111/j.1365-4632.2011.05009.x [doi] AB - BACKGROUND: Clear cell sarcoma (CCS) of soft tissue is a rare soft tissue sarcoma with melanocytic differentiation and shares morphologic, immunohistochemical, ultrastructural, and molecular features with malignant melanoma (MM). Because the prognosis of CCS is much different from MM, it is important to distinguish each other by selective method. CCS is well-recognized as having the t(12;22)(q13;q12) translocation, on the other hand MM is not. Therefore, detecting Ewing sarcoma region 1 (ESWR1) gene rearrangement can serve as a crucial diagnostic determinant. METHODS: Biopsy was taken from a 52-year-old man who reported a 3-year history of a gradually enlarging nodule on the sole of his left foot. Routine and special stains for melanocytic markers and fluorescence in situ hybridization (FISH) evaluation using dual color break-apart rearrangement probes specific for ESWR1 was performed for formalin-fixed tissue. RESULTS: Neoplastic cells expressed diffuse but strong positivity for HMB45 and S100 but not for Melan-A. Dual color, break-apart interphase FISH revealed EWS(22q12) gene rearrangements in CCS tumor cells. CONCLUSION: Fluorescence in situ hybridization evaluation using ESWR1 gene probe for CCS sharing clinical and histopathological characteristics with MM is a valuable tool to distinguish each other. CI - (c) 2014 The International Society of Dermatology. FAU - Yoon, Jung Hee AU - Yoon JH AD - Department of Dermatology, College of Medicine, Korea University, Guro Hospital, Seoul, Korea. FAU - Baek, Yoo Sang AU - Baek YS FAU - Jeon, Jiehyun AU - Jeon J FAU - Oh, Chil Hwan AU - Oh CH FAU - Song, Hae Jun AU - Song HJ LA - eng PT - Case Reports PT - Journal Article DEP - 20141014 PL - England TA - Int J Dermatol JT - International journal of dermatology JID - 0243704 RN - 0 (RNA Probes) RN - 0 (RNA-Binding Protein EWS) SB - IM MH - Diagnosis, Differential MH - Foot Diseases/*diagnosis/genetics/pathology MH - Gene Rearrangement/genetics MH - Humans MH - In Situ Hybridization, Fluorescence/*methods MH - Male MH - Melanoma/*diagnosis/genetics MH - Middle Aged MH - RNA Probes MH - RNA-Binding Protein EWS MH - Sarcoma, Clear Cell/*diagnosis/genetics/pathology MH - Skin Neoplasms/*diagnosis/genetics/pathology MH - Soft Tissue Neoplasms/genetics MH - Tissue Array Analysis EDAT- 2014/10/15 06:00 MHDA- 2015/07/28 06:00 CRDT- 2014/10/15 06:00 PHST- 2014/10/15 06:00 [entrez] PHST- 2014/10/15 06:00 [pubmed] PHST- 2015/07/28 06:00 [medline] AID - 10.1111/j.1365-4632.2011.05009.x [doi] PST - ppublish SO - Int J Dermatol. 2014 Dec;53(12):1464-7. doi: 10.1111/j.1365-4632.2011.05009.x. Epub 2014 Oct 14.