PMID- 32913529 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 1943-8141 (Print) IS - 1943-8141 (Electronic) IS - 1943-8141 (Linking) VI - 12 IP - 8 DP - 2020 TI - Fluorescence in situ hybridization for WWTR1-CAMTA1 has higher sensitivity and specificity for epithelioid hemangioendothelioma diagnosis. PG - 4561-4568 AB - Epithelioid hemangioendothelioma (EHE) is a rare medium-to-low-grade malignant vascular tumor characterized by vascular differentiation along with specific morphological and genetic alterations. Approximately 90% and 5% of EHE cases are associated with the WWTR1-CAMTA1 and YAP1/TFE3 fusion gene, respectively. Therefore, nuclear CAMTA1 protein expression is considered to be an effective marker for EHE diagnosis. However, the specificity and reliability of this approach have recently been put into question. The purpose of this study was to compare the detection of CAMTA1 expression in cases of EHE and histologic mimics using fluorescence in situ hybridization (FISH) and conventional protein immunohistochemistry via hematoxylin and eosin staining. Fifteen EHE and 37 histologic mimic samples were immunohistochemically stained with polyclonal anti-CAMTA1 antibody to evaluate the nuclear protein expression level of CAMTA1. In addition, 15 EHE samples and 10 vascular tumor samples were subjected to FISH to detect the WWTR1-CAMTA1 fusion gene. Histologically, EHE typically showed a mucous hyaline or cartilaginous stroma, often forming a primitive vascular lumen, and expressed vascular endothelial markers. Twelve of the 15 EHE samples showed positive nuclear CAMTA1 expression with immunohistochemistry, whereas six of the 37 histologic mimics showed positive nuclear expression. FISH detected a red-green signal fusion in 14 of the 15 cases of EHE, but in none of the 10 vascular tumors. These results indicate that CAMTA1 is an effective and useful EHE marker, but that FISH fusion gene detection has better diagnostic value and clinical significance. CI - AJTR Copyright (c) 2020. FAU - Yang, Panpan AU - Yang P AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Zhang, Shan AU - Zhang S AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Yu, Chaowen AU - Yu C AD - Department of Vascular Surgery, The First Affiliated Hospital of Bengbu Medical College Bengbu 233030, Anhui, China. FAU - Yan, Wentian AU - Yan W AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Yang, Ningning AU - Yang N AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Li, Nan AU - Li N AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Huang, Yuchen AU - Huang Y AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Chen, Hongchun AU - Chen H AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Cai, Zhaogen AU - Cai Z AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Zhao, Yan AU - Zhao Y AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Qin, Yanzi AU - Qin Y AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Gong, Xiaomeng AU - Gong X AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. FAU - Feng, Zhenzhong AU - Feng Z AD - Department of Pathology, The First Affiliated Hospital of Bengbu Medical College, Bengbu Medical College Anhui, China. LA - eng PT - Journal Article DEP - 20200815 PL - United States TA - Am J Transl Res JT - American journal of translational research JID - 101493030 PMC - PMC7476104 OTO - NOTNLM OT - CAMTA1 OT - FISH OT - epithelioid hemangioendothelioma OT - immunohistochemistry COIS- None. EDAT- 2020/09/12 06:00 MHDA- 2020/09/12 06:01 PMCR- 2020/08/15 CRDT- 2020/09/11 05:44 PHST- 2020/01/08 00:00 [received] PHST- 2020/07/03 00:00 [accepted] PHST- 2020/09/11 05:44 [entrez] PHST- 2020/09/12 06:00 [pubmed] PHST- 2020/09/12 06:01 [medline] PHST- 2020/08/15 00:00 [pmc-release] PST - epublish SO - Am J Transl Res. 2020 Aug 15;12(8):4561-4568. eCollection 2020.