PMID- 31611201 OWN - NLM STAT- MEDLINE DCOM- 20200220 LR - 20200220 IS - 1550-8080 (Electronic) IS - 0091-7370 (Linking) VI - 49 IP - 5 DP - 2019 Sep TI - Validation of Fluorescence in situ Hybridization Testing of USP6 Gene Rearrangement for Diagnosis of Primary Aneurysmal Bone Cyst. PG - 590-597 AB - GOALS: Ubiquitin specific protease 6 (USP6) gene rearrangement has been reported in approximately 70%-75% of aneurysmal bone cyst cases. We hypothesize that fluorescence in situ hybridization (FISH) testing of this marker will be useful in the pathological differentiation of primary aneurysmal bone cyst (ABC), secondary ABC, giant cell tumor of bone (GCT), and telangiectatic osteosarcoma (TOS) which are morphologically similar. This study aims to evaluate the efficacy of this test and validate it for diagnostic use. PROCEDURES: FISH was performed in primary ABC, secondary ABC, GCT and TOS using dual color USP6 gene break apart probes. The sensitivity, specificity, positive predictive value, and negative predictive values were calculated. RESULTS: Primary ABC demonstrates USP6 rearrangement. All secondary ABC, GCT and TOS were negative. The test sensitivity and specificity in primary ABC were 53% (9/17) and 100% (18/18), respectively. The positive predictive value and negative predictive value were 100% (9/9) and 69% (18/26), respectively. CONCLUSION: The USP6 gene break apart detected by FISH is validated as a novel diagnostic tool for primary ABC in our laboratory. This test could be used to study the predictive value of USP6 targeted therapy for primary ABC in the near future. CI - (c) 2019 by the Association of Clinical Scientists, Inc. FAU - Li, Lan AU - Li L AD - Department of Pathology, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China. FAU - Bui, Marilyn M AU - Bui MM AD - Department of Pathology, Moffitt Cancer Center, Tampa, FL, USA. FAU - Zhang, Ming AU - Zhang M AD - Department of Pathology, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China. FAU - Sun, Xiaoqi AU - Sun X AD - Department of Pathology, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China. FAU - Han, Gang AU - Han G AD - Department of Biostatistics, School of Public Health, Texas A&M University, Texas, USA. FAU - Zhang, Tingting AU - Zhang T AD - Department of Pathology, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China. FAU - Huang, Xiaoyuan AU - Huang X AD - Department of Pathology, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China. FAU - Ding, Yi AU - Ding Y AD - Department of Pathology, Beijing Jishuitan Hospital, The Fourth Medical College of Peking University, Beijing, China bootman@sina.com. LA - eng PT - Journal Article PT - Validation Study PL - United States TA - Ann Clin Lab Sci JT - Annals of clinical and laboratory science JID - 0410247 RN - EC 3.4.19.12 (USP6 protein, human) RN - EC 3.4.19.12 (Ubiquitin Thiolesterase) SB - IM MH - Adolescent MH - Adult MH - Bone Cysts, Aneurysmal/*diagnosis/*genetics/pathology MH - Child MH - Child, Preschool MH - Female MH - *Gene Rearrangement MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Male MH - Ubiquitin Thiolesterase/*genetics MH - Young Adult OTO - NOTNLM OT - Aneurysmal bone cyst OT - Fluorescence in situ hybridization OT - Giant cell tumor of bone OT - USP6 gene EDAT- 2019/10/16 06:00 MHDA- 2020/02/23 06:00 CRDT- 2019/10/16 06:00 PHST- 2019/10/16 06:00 [entrez] PHST- 2019/10/16 06:00 [pubmed] PHST- 2020/02/23 06:00 [medline] AID - 49/5/590 [pii] PST - ppublish SO - Ann Clin Lab Sci. 2019 Sep;49(5):590-597.