PMID- 31202195 OWN - NLM STAT- MEDLINE DCOM- 20200220 LR - 20200220 IS - 1532-8198 (Electronic) IS - 1092-9134 (Linking) VI - 41 DP - 2019 Aug TI - Calcifying fibrous tumor and inflammatory myofibroblastic tumor are epigenetically related: A comparative genome-wide methylation study. PG - 102-105 LID - S1092-9134(19)30181-9 [pii] LID - 10.1016/j.anndiagpath.2019.05.013 [doi] AB - Based on histological findings, calcifying fibrous tumor (CFT) may be a late (burned out) stage of inflammatory myofibroblastic tumor (IMT). This concept, however, has not been proven by molecular means. Five CFTs were analyzed for IMT-related rearrangements in ALK, ROS1 and RET using fluorescence in situ hybridization (FISH). Additionally, genome-wide methylation patterns were investigated and compared with IMT (n = 7), leiomyoma (n = 7), angioleiomyoma (n = 9), myopericytoma (n = 7) and reactive soft tissue lesions (n = 10) using unsupervised hierarchical cluster analysis and t distributed stochastic neighbor embedding. CFT patients, 4 females and 1 male, had a median age of 20 years ranging from 7 to 43 years. Two patients were younger than 18 years old. The tumors originated in the abdomen (n = 4) and axilla (n = 1). Histologically, all lesions were (multi) nodular and hypocellular consisting of bland looking (myo)fibroblasts embedded in a collagenous matrix with calcifications. FISH analysis brought up negative results for ALK, RET and ROS1 rearrangements. However, genome-wide methylation analysis revealed overlapping methylation patterns of CFT and IMT forming a distinct homogeneous methylation cluster with exception of one case clustering with myopericytoma/angioleiomyoma. In conclusion, DNA methylation profiling supports the concept that CFT and IMT represent both ends of a spectrum of one entity with CFT being the burn out stage of IMT. CI - Copyright (c) 2019 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Tomassen, Tess AU - Tomassen T AD - Department of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands. FAU - Koelsche, Christian AU - Koelsche C AD - Department of General Pathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany. FAU - de Leng, Wendy W J AU - de Leng WWJ AD - Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - Kommoss, Felix K F AU - Kommoss FKF AD - Department of General Pathology, Institute of Pathology, University Hospital Heidelberg, Heidelberg, Germany. FAU - Voijs, Carmen M A AU - Voijs CMA AD - Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - Peeters, Ton AU - Peeters T AD - Department of Pathology, University Medical Center Utrecht, Utrecht, the Netherlands. FAU - van Noesel, Max M AU - van Noesel MM AD - Princess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands. FAU - Creytens, David AU - Creytens D AD - Department of Pathology, Ghent University and Gent University Hospital, Ghent, Belgium. FAU - van Gorp, Joost M AU - van Gorp JM AD - Department of Pathology, St Antonius Hospital, Nieuwegein, the Netherlands. FAU - Petersen, Iver AU - Petersen I AD - Institute of Pathology, SRH Wald-Klinikum Gera, Germany. FAU - Vokuhl, Christian AU - Vokuhl C AD - Kiel Paediatric Tumor Registry and Institute of Pathology, Christian Albrechts University, Kiel, Germany. FAU - von Deimling, Andreas AU - von Deimling A AD - Department of Neuropathology, Institute of Pathology, Heidelberg University Hospital, Heidelberg, Germany. FAU - Mentzel, Thomas AU - Mentzel T AD - Dermatopathology Bodensee, Friedrichshafen, Germany. FAU - Flucke, Uta AU - Flucke U AD - Department of Pathology, Radboud University Medical Center, Nijmegen, the Netherlands; Princess Maxima Center for Pediatric Oncology, Utrecht, the Netherlands. Electronic address: uta.flucke@radboudumc.nl. LA - eng PT - Comparative Study PT - Journal Article DEP - 20190603 PL - United States TA - Ann Diagn Pathol JT - Annals of diagnostic pathology JID - 9800503 SB - IM MH - Abdominal Neoplasms/genetics/pathology MH - Adolescent MH - Adult MH - Axilla/pathology MH - Calcinosis/genetics/pathology MH - Child MH - DNA Methylation MH - Epigenesis, Genetic MH - Female MH - Genome-Wide Association Study MH - Granuloma, Plasma Cell/*genetics/pathology MH - Humans MH - Male MH - Neoplasms, Fibrous Tissue/*genetics/pathology MH - Young Adult OTO - NOTNLM OT - Calcifying fibrous tumor OT - Fluorescence in situ hybridization OT - Genome-wide methylation profiling OT - Inflammatory myofibroblastic tumor EDAT- 2019/06/16 06:00 MHDA- 2020/02/23 06:00 CRDT- 2019/06/16 06:00 PHST- 2019/05/21 00:00 [received] PHST- 2019/05/31 00:00 [accepted] PHST- 2019/06/16 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] PHST- 2019/06/16 06:00 [entrez] AID - S1092-9134(19)30181-9 [pii] AID - 10.1016/j.anndiagpath.2019.05.013 [doi] PST - ppublish SO - Ann Diagn Pathol. 2019 Aug;41:102-105. doi: 10.1016/j.anndiagpath.2019.05.013. Epub 2019 Jun 3.