PMID- 29135507 OWN - NLM STAT- MEDLINE DCOM- 20180924 LR - 20180924 IS - 1533-0311 (Electronic) IS - 0193-1091 (Linking) VI - 40 IP - 5 DP - 2018 May TI - Immunohistochemical and Fluorescence In Situ Hybridization Analysis of MYC in a Series of 17 Cutaneous Angiosarcomas: A Single-Center Study. PG - 349-354 LID - 10.1097/DAD.0000000000001053 [doi] AB - Cutaneous angiosarcoma (AS) is an uncommon, aggressive sarcoma whose incidence is rising because of the increasing use of radiation therapy, especially in breast cancer. The few studies on the relevance of prognostic factors, such as MYC status in cutaneous AS, have reported inconclusive findings, with some authors reporting MYC amplification only in postirradiation and lymphedema-associated AS and others reporting evidence of MYC amplification in idiopathic AS. We analyzed 17 cases of cutaneous AS (6 idiopathic AS, 10 postirradiation AS, and 1 lymphedema-associated AS) treated at our institute between 2000 and 2015. Follow-up data were available in all cases. We compared the presence/absence of MYC amplification by fluorescence in situ hybridization (FISH) and immunohistochemical (IHC) MYC overexpression in the different AS subtypes. We also investigated potential associations between MYC amplification and prognosis. MYC amplification was observed by FISH in 6 of 14 informative cases. The positive cases were all secondary AS (5 postirradiation AS and 1 lymphedema-associated AS). IHC detected MYC overexpression in 8 of 15 informative cases (7 secondary AS and 1 idiopathic AS). In conclusion, MYC amplification and MYC overexpression were detected almost exclusively in secondary AS. No associations were found between MYC amplification/overexpression and prognosis. We found MYC amplification or overexpression in a similar proportion of the patients who died and who were still alive at the end of the study. In the group of 9 patients who died, MYC was detected by FISH in 4 cases and by IHC in 5. The corresponding figures in the group of 6 patients still alive were 2 by FISH and 3 by IHC. FAU - Requena, Celia AU - Requena C AD - Departments of Dermatology. FAU - Rubio, Luis AU - Rubio L AD - Molecular Biology. FAU - Lavernia, Javier AU - Lavernia J AD - Oncology, and. FAU - Machado, Isidro AU - Machado I AD - Pathology, Instituto Valenciano de Oncologia, Valencia, Spain. FAU - Llombart, Beatriz AU - Llombart B AD - Departments of Dermatology. FAU - Sanmartin, Onofre AU - Sanmartin O AD - Departments of Dermatology. FAU - Traves, Victor AU - Traves V AD - Pathology, Instituto Valenciano de Oncologia, Valencia, Spain. FAU - Guillen, Carlos AU - Guillen C AD - Departments of Dermatology. FAU - Cruz, Julia AU - Cruz J AD - Pathology, Instituto Valenciano de Oncologia, Valencia, Spain. LA - eng PT - Journal Article PL - United States TA - Am J Dermatopathol JT - The American Journal of dermatopathology JID - 7911005 RN - 0 (MYC protein, human) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - Gene Amplification MH - Hemangiosarcoma/*genetics/mortality/pathology MH - Humans MH - Immunohistochemistry MH - In Situ Hybridization, Fluorescence MH - Male MH - Middle Aged MH - Neoplasms, Radiation-Induced/*genetics MH - Proto-Oncogene Proteins c-myc/*genetics MH - Skin Neoplasms/*genetics/mortality/pathology EDAT- 2017/11/15 06:00 MHDA- 2018/09/25 06:00 CRDT- 2017/11/15 06:00 PHST- 2017/11/15 06:00 [pubmed] PHST- 2018/09/25 06:00 [medline] PHST- 2017/11/15 06:00 [entrez] AID - 10.1097/DAD.0000000000001053 [doi] PST - ppublish SO - Am J Dermatopathol. 2018 May;40(5):349-354. doi: 10.1097/DAD.0000000000001053.