PMID- 31872861 OWN - NLM STAT- MEDLINE DCOM- 20200505 LR - 20210208 IS - 1943-7722 (Electronic) IS - 0002-9173 (Print) IS - 0002-9173 (Linking) VI - 153 IP - 3 DP - 2020 Feb 8 TI - Comparison Between Integrated Genomic DNA/RNA Profiling and Fluorescence In Situ Hybridization in the Detection of MYC, BCL-2, and BCL-6 Gene Rearrangements in Large B-Cell Lymphomas. PG - 353-359 LID - 10.1093/ajcp/aqz172 [doi] AB - OBJECTIVES: To compare fluorescence in situ hybridization (FISH) and a commercially available sequencing assay for comprehensive genomic profiling (CGP) to determine the best approach to identify gene rearrangements (GRs) in large B-cell lymphomas (LBCLs). METHODS: Comparison of standard-of-care FISH assays (including a two-probe approach for MYC; break-apart and fusion probes) and an integrated genomic DNA/RNA sequencing CGP approach on a set of 69 consecutive LBCL cases. RESULTS: CGP detected GRs, including those involving MYC (1), BCL-2 (3), and BCL-6 (3), not detected by FISH. FISH detected non-IgH-MYC (4) and BCL-6 (2) GRs that were not detected by CGP. In four instances, standalone CGP or FISH testing would have missed a double-hit lymphoma. CONCLUSIONS: CGP was superior to FISH in the detection of IgH-MYC rearrangements but was inferior for the detection of non-IgH-MYC rearrangements. Our study demonstrates the rationale for development of a customized approach to identify GRs in LBCLs. CI - (c) American Society for Clinical Pathology, 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. FAU - Cassidy, Daniel P AU - Cassidy DP AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami, Sylvester Comprehensive Cancer Center, and Jackson Memorial Hospitals, Miami, FL. FAU - Chapman, Jennifer R AU - Chapman JR AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami, Sylvester Comprehensive Cancer Center, and Jackson Memorial Hospitals, Miami, FL. FAU - Lopez, Rafael AU - Lopez R AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami, Sylvester Comprehensive Cancer Center, and Jackson Memorial Hospitals, Miami, FL. FAU - White, Kyle AU - White K AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami, Sylvester Comprehensive Cancer Center, and Jackson Memorial Hospitals, Miami, FL. FAU - Fan, Yao-Shan AU - Fan YS AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami, Sylvester Comprehensive Cancer Center, and Jackson Memorial Hospitals, Miami, FL. FAU - Casas, Carmen AU - Casas C AD - Division of Hematopathology, Department of Pathology and Laboratory Medicine, University of Miami, Sylvester Comprehensive Cancer Center, and Jackson Memorial Hospitals, Miami, FL. FAU - Severson, Eric A AU - Severson EA AD - Foundation Medicine, Morrisville, NC. FAU - Vega, Francisco AU - Vega F AD - Department of Hematopathology, MD Anderson Cancer Center, Houston, TX. LA - eng GR - R01 CA222918/CA/NCI NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (BCL2 protein, human) RN - 0 (BCL6 protein, human) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Proto-Oncogene Proteins c-bcl-6) RN - 0 (Proto-Oncogene Proteins c-myc) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Female MH - *Gene Rearrangement MH - Genetic Profile MH - Humans MH - In Situ Hybridization, Fluorescence MH - Lymphoma, Large B-Cell, Diffuse/*diagnosis/genetics/pathology MH - Male MH - Middle Aged MH - Proto-Oncogene Proteins c-bcl-2/*genetics MH - Proto-Oncogene Proteins c-bcl-6/*genetics MH - Proto-Oncogene Proteins c-myc/*genetics PMC - PMC7007318 OTO - NOTNLM OT - MYC OT - Comprehensive genomic profiling OT - FISH OT - Gene rearrangements OT - High-grade B-cell lymphoma OT - Prognosis OT - Sequencing EDAT- 2019/12/25 06:00 MHDA- 2020/05/06 06:00 PMCR- 2021/02/08 CRDT- 2019/12/25 06:00 PHST- 2019/12/25 06:00 [pubmed] PHST- 2020/05/06 06:00 [medline] PHST- 2019/12/25 06:00 [entrez] PHST- 2021/02/08 00:00 [pmc-release] AID - 5686236 [pii] AID - aqz172 [pii] AID - 10.1093/ajcp/aqz172 [doi] PST - ppublish SO - Am J Clin Pathol. 2020 Feb 8;153(3):353-359. doi: 10.1093/ajcp/aqz172.