PMID- 33205043 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 2632-2498 (Electronic) IS - 2632-2498 (Linking) VI - 2 IP - 1 DP - 2020 Jan-Dec TI - Frequency of false-positive FISH 1p/19q codeletion in adult diffuse astrocytic gliomas. PG - vdaa109 LID - 10.1093/noajnl/vdaa109 [doi] LID - vdaa109 AB - BACKGROUND: Oligodendroglioma is genetically defined by concomitant IDH (IDH1/IDH2) mutation and whole-arm 1p/19q codeletion. Codeletion of 1p/19q traditionally evaluated by fluorescence in situ hybridization (FISH) cannot distinguish partial from whole-arm 1p/19q codeletion. Partial 1p/19q codeletion called positive by FISH is diagnostically a "false-positive" result. Chromosomal microarray (CMA) discriminates partial from whole-arm 1p/19q codeletion. Herein, we aimed to estimate the frequency of partial 1p/19q codeletion that would lead to a false-positive FISH result. METHODS: FISH 1p/19q codeletion test probe coordinates were mapped onto Oncoscan CMA data to determine the rate of partial 1p/19q codeletion predicted to be positive by FISH. Diffuse astrocytic gliomas with available CMA data (2015-2018) were evaluated and classified based on IDH1-R132H/ATRX/p53 immunohistochemistry, IDH/TERT promoter targeted sequencing, and/or CMA according to classification updates. Predicted false-positive cases were verified by FISH whenever possible. RESULTS: The overall estimated false-positive FISH 1p/19q codeletion rate was 3.6% (8/223). Predicted false positives were verified by FISH in 6 (of 8) cases. False-positive rates did not differ significantly (P = .49) between IDH-mutant (4.6%; 4/86) and IDH-wildtype (2.9%; 4/137) tumors. IDH-wildtype false positives were all WHO grade IV, whereas IDH-mutant false positives spanned WHO grades II-IV. Testing for 1p/19q codeletion would not have been indicated for most false positives based on current classification recommendations. CONCLUSION: Selective 1p/19q codeletion testing and cautious interpretation for conflicting FISH and histopathological findings are recommended to avoid potential misdiagnosis. CI - (c) The Author(s) 2020. Published by Oxford University Press, the Society for Neuro-Oncology and the European Association of Neuro-Oncology. FAU - Ball, Matthew K AU - Ball MK AUID- ORCID: 0000-0002-1356-8856 AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Kollmeyer, Thomas M AU - Kollmeyer TM AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Praska, Corinne E AU - Praska CE AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - McKenna, Michelle L AU - McKenna ML AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Giannini, Caterina AU - Giannini C AUID- ORCID: 0000-0003-2757-6782 AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Raghunathan, Aditya AU - Raghunathan A AUID- ORCID: 0000-0001-6198-7441 AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Jentoft, Mark E AU - Jentoft ME AUID- ORCID: 0000-0002-2939-5259 AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Jacksonville, Florida, USA. FAU - Lachance, Daniel H AU - Lachance DH AD - Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Kipp, Benjamin R AU - Kipp BR AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Jenkins, Robert B AU - Jenkins RB AUID- ORCID: 0000-0002-4049-694X AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. FAU - Ida, Cristiane M AU - Ida CM AD - Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA. LA - eng GR - P30 CA015083/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20200827 PL - England TA - Neurooncol Adv JT - Neuro-oncology advances JID - 101755003 PMC - PMC7654379 OTO - NOTNLM OT - WHO OT - astrocytoma OT - cIMPACT OT - chromosomal microarray OT - oligodendroglioma EDAT- 2020/11/19 06:00 MHDA- 2020/11/19 06:01 PMCR- 2020/08/27 CRDT- 2020/11/18 06:01 PHST- 2020/11/18 06:01 [entrez] PHST- 2020/11/19 06:00 [pubmed] PHST- 2020/11/19 06:01 [medline] PHST- 2020/08/27 00:00 [pmc-release] AID - vdaa109 [pii] AID - 10.1093/noajnl/vdaa109 [doi] PST - epublish SO - Neurooncol Adv. 2020 Aug 27;2(1):vdaa109. doi: 10.1093/noajnl/vdaa109. eCollection 2020 Jan-Dec.