PMID- 36059611 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220907 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - Primary intrathoracic liposarcomas: A clinicopathologic and molecular study of 43 cases in one of the largest medical centers of China. PG - 949962 LID - 10.3389/fonc.2022.949962 [doi] LID - 949962 AB - INTRODUCTION: Primary intrathoracic liposarcoma is extremely rare, and most published series lack genetic analyses. The aim of our study is to better understand the clinicopathologic and genetic features of these rare lesions. MATERIALS AND METHODS: Forty-three primary intrathoracic liposarcomas were identified and most cases were analyzed by systematic genetic studies, including fluorescence in situ hybridization (FISH), whole-exome sequencing (WES), and Sanger sequencing. RESULTS: This series included 27 males and 16 females (ratios, 1.68:1) aged 24-73 years (median, 53 years). Tumors mainly occurred in the mediastinum (n=23, 53.5%), followed by pleural cavity (n=16, 37.2%) and lung (n=4, 9.3%). The study included 21 well-differentiated liposarcomas (WDLs), 19 dedifferentiated liposarcomas (DDLs), 2 myxoid pleomorphic liposarcomas (MPLs) and 1 pleomorphic liposarcoma (PL), without identification of myxoid liposarcoma. FISH analysis identified MDM2 amplification in 17 of 18 WDLs (94.4%) and all DDLs (16/16, 100.0%). The MDM2-nonamplified WDL was CDK4-nonamplified but FRS2-amplified. WES and Sanger sequencing found somatic TP53 mutation in the 2 MPLs. Follow-up information was available for 33 of 38 cases (86.8%). Thirteen patients (39.4%) showed no evidence of disease, 10 patients (30.3%) were alive with disease, and 8 patients (24.2%) died of disease. Fourteen cases developed recurrence and 1 with metastasis. CONCLUSIONS: WDL/DDL was the overwhelming subtype in this location, followed by MPL and PL. Analysis of the FRS2 gene, in combination with MDM2 and other genes of 12q13-15, may more precisely characterize WDL/DDLs. MPL is the most fatal subtype of this site. Further studies are needed to explore the role of TP53 in the pathogenesis of MPL. CI - Copyright (c) 2022 Xie, Jing, Zhao, Peng, Chen, Lan, Peng, He, Chen, Zhang and Zhang. FAU - Xie, You AU - Xie Y AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Jing, Wenyi AU - Jing W AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhao, Wei AU - Zhao W AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Peng, Ran AU - Peng R AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Chen, Min AU - Chen M AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Lan, Ting AU - Lan T AD - Department of Pathology, Sichuan Cancer Hospital and Institute, Sichuan Cancer Center, Cancer Hospital Affiliate to School of Medicine, University of Electronic Science and Technology of China, Chengdu, China. FAU - Peng, Heng AU - Peng H AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - He, Xin AU - He X AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Chen, Huijiao AU - Chen H AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhang, Zhang AU - Zhang Z AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. FAU - Zhang, Hongying AU - Zhang H AD - Department of Pathology, West China Hospital, Sichuan University, Chengdu, China. LA - eng PT - Journal Article DEP - 20220817 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC9432863 OTO - NOTNLM OT - dedifferentiated liposarcoma OT - liposarcoma OT - molecular analysis OT - myxoid pleomorphic liposarcoma OT - thorax OT - well-differentiated liposarcoma COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/09/06 06:00 MHDA- 2022/09/06 06:01 PMCR- 2022/01/01 CRDT- 2022/09/05 03:40 PHST- 2022/05/22 00:00 [received] PHST- 2022/07/27 00:00 [accepted] PHST- 2022/09/05 03:40 [entrez] PHST- 2022/09/06 06:00 [pubmed] PHST- 2022/09/06 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.949962 [doi] PST - epublish SO - Front Oncol. 2022 Aug 17;12:949962. doi: 10.3389/fonc.2022.949962. eCollection 2022.