PMID- 33128474 OWN - NLM STAT- MEDLINE DCOM- 20211101 LR - 20211101 IS - 1600-0560 (Electronic) IS - 0303-6987 (Linking) VI - 48 IP - 4 DP - 2021 Apr TI - MYC gene amplification by fluorescence in situ hybridization and MYC protein expression by immunohistochemistry in the diagnosis of cutaneous angiosarcoma: Systematic review and appropriate use criteria. PG - 578-586 LID - 10.1111/cup.13912 [doi] AB - BACKGROUND: Secondary angiosarcoma (AS) most commonly follows breast cancer and includes postirradiation AS (PRAS) and lymphedema-associated AS. The frequent amplification of MYC (8q24.21) in secondary AS and the rising incidence of PRAS and atypical vascular lesions (AVLs) have prompted interest in the diagnostic and prognostic utility of MYC in AS. METHODS: Retrospective series with >/=2 cases of cutaneous AS and describing the use of fluorescence in situ hybridization (FISH) for MYC amplification or immunohistochemistry (IHC) for MYC overexpression were included. RESULTS: Sixteen studies met inclusion criteria. Overall, 93% of cases evaluated by FISH and IHC were concordant. The sensitivity of FISH in primary AS was only 6.8%, and protein overexpression occurred without amplification in sun-damaged skin. FISH and IHC were over 78% sensitive in secondary AS but negative in over 98% of AVLs. MYC amplification and FLT4 coamplification were associated with shorter overall survival in secondary AS. CONCLUSION: FISH for MYC amplification and IHC for MYC overexpression are useful in distinguishing PRAS from AVLs and may also have prognostic value in secondary AS. In contrast, these methods have little diagnostic or prognostic value in primary AS and should not be used to distinguish primary AS from benign vascular neoplasms. CI - (c) 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Motaparthi, Kiran AU - Motaparthi K AUID- ORCID: 0000-0003-0562-0826 AD - Department of Dermatology, University of Florida College of Medicine, Gainesville, Florida, USA. FAU - Lauer, Scott R AU - Lauer SR AD - Department of Pathology and Microbiology, University of Nebraska Medical Center, Omaha, Nebraska, USA. FAU - Patel, Rajiv M AU - Patel RM AUID- ORCID: 0000-0002-1521-4947 AD - Michigan Medicine Department of Pathology, University of Michigan, Ann Arbor, Michigan, USA. AD - Michigan Medicine Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA. FAU - Vidal, Claudia I AU - Vidal CI AUID- ORCID: 0000-0003-2672-4974 AD - Dermatology Center of Southern Indiana, Bloomington, Indiana, USA. FAU - Linos, Konstantinos AU - Linos K AUID- ORCID: 0000-0001-9462-652X AD - Department of Pathology and Laboratory Medicine, Dartmouth-Hitchcock Medical Center, Lebanon, NH and Geisel School of Medicine, Hanover, New Hampshire, USA. LA - eng PT - Journal Article PT - Systematic Review DEP - 20201116 PL - United States TA - J Cutan Pathol JT - Journal of cutaneous pathology JID - 0425124 RN - 0 (Proto-Oncogene Proteins c-myc) RN - Radiation induced angiosarcoma of the breast SB - IM MH - Aged MH - Aged, 80 and over MH - Breast Neoplasms/diagnosis/metabolism/pathology/radiotherapy MH - Female MH - Gene Amplification/*genetics MH - Hemangiosarcoma/diagnosis/*genetics/metabolism/mortality/pathology MH - Humans MH - Immunohistochemistry/*methods MH - In Situ Hybridization, Fluorescence/*methods MH - Lymphedema/complications/metabolism/pathology MH - Neoplasms, Radiation-Induced/diagnosis/metabolism/pathology MH - Prognosis MH - Proto-Oncogene Proteins c-myc/*genetics MH - Retrospective Studies MH - Sensitivity and Specificity MH - Skin Neoplasms/genetics/pathology OTO - NOTNLM OT - MYC OT - angiosarcoma OT - appropriate use criteria OT - atypical vascular lesions OT - fluorescence in situ hybridization OT - immunohistochemistry EDAT- 2020/11/01 06:00 MHDA- 2021/11/03 06:00 CRDT- 2020/10/31 12:05 PHST- 2020/10/12 00:00 [revised] PHST- 2020/08/23 00:00 [received] PHST- 2020/10/25 00:00 [accepted] PHST- 2020/11/01 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2020/10/31 12:05 [entrez] AID - 10.1111/cup.13912 [doi] PST - ppublish SO - J Cutan Pathol. 2021 Apr;48(4):578-586. doi: 10.1111/cup.13912. Epub 2020 Nov 16.