PMID- 36379683 OWN - NLM STAT- MEDLINE DCOM- 20230109 LR - 20230415 IS - 1098-2264 (Electronic) IS - 1045-2257 (Print) IS - 1045-2257 (Linking) VI - 62 IP - 3 DP - 2023 Mar TI - A cryptic EWSR1::DDIT3 fusion in myxoid liposarcoma: Potential pitfalls with FISH and cytogenetics. PG - 167-170 LID - 10.1002/gcc.23103 [doi] AB - Myxoid liposarcoma (MLS) is molecularly characterized by fusions involving the DDIT3 gene in chromosome band 12q13; the fusion partner is FUS in band 16p11 in 90-95% of the cases and EWSR1 in band 22q12 in the remaining 5-10%. Hence, molecular studies, often fluorescence in situ hybridization (FISH) for DDIT3 rearrangement, are useful for establishing a correct diagnosis. Although all MLS tumors should have DDIT3 fusions, it is important to be aware of reasons for potential false-negative results. We here present a case of MLS that was negative for FISH for DDIT3, that showed an unexpected t(11;22) at G-banding, but that displayed a characteristic EWSR1::DDIT3 fusion at RNA-sequencing. The results suggest that neoplasia-associated fusions that, due to the transcriptional orientations of the two genes involved, cannot arise through only two double-strand breaks are more likely to be associated with negative FISH-findings and unexpected karyotypes. CI - (c) 2022 The Authors. Genes, Chromosomes and Cancer published by Wiley Periodicals LLC. FAU - Ibstedt, Sebastian AU - Ibstedt S AUID- ORCID: 0000-0001-5097-9243 AD - Department of Clinical Genetics and Pathology, Division of Laboratory Medicine, Lund, Sweden. FAU - de Mattos, Camila Bedeschi Rego AU - de Mattos CBR AD - Orthopedics, Department of Clinical Sciences Lund, Skane University Hospital, Lund, Sweden. FAU - Koster, Jan AU - Koster J AD - Department of Clinical Genetics and Pathology, Division of Laboratory Medicine, Lund, Sweden. AD - Division of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden. FAU - Mertens, Fredrik AU - Mertens F AD - Department of Clinical Genetics and Pathology, Division of Laboratory Medicine, Lund, Sweden. AD - Division of Clinical Genetics, Department of Laboratory Medicine, Lund University, Lund, Sweden. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20221124 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - 0 (Oncogene Proteins, Fusion) RN - 0 (DDIT3 protein, human) RN - 147336-12-7 (Transcription Factor CHOP) RN - 0 (EWSR1 protein, human) RN - 0 (RNA-Binding Protein EWS) SB - IM MH - Humans MH - Adult MH - *Liposarcoma, Myxoid/genetics/pathology MH - In Situ Hybridization, Fluorescence MH - Base Sequence MH - Oncogene Proteins, Fusion/genetics/metabolism MH - *Liposarcoma/genetics MH - Transcription Factor CHOP/genetics MH - RNA-Binding Protein EWS/genetics PMC - PMC10100227 OTO - NOTNLM OT - FISH OT - cryptic OT - fusion OT - liposarcoma OT - transcriptional orientation EDAT- 2022/11/16 06:00 MHDA- 2023/01/10 06:00 PMCR- 2023/04/13 CRDT- 2022/11/15 21:23 PHST- 2022/11/07 00:00 [revised] PHST- 2022/10/05 00:00 [received] PHST- 2022/11/11 00:00 [accepted] PHST- 2022/11/16 06:00 [pubmed] PHST- 2023/01/10 06:00 [medline] PHST- 2022/11/15 21:23 [entrez] PHST- 2023/04/13 00:00 [pmc-release] AID - GCC23103 [pii] AID - 10.1002/gcc.23103 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2023 Mar;62(3):167-170. doi: 10.1002/gcc.23103. Epub 2022 Nov 24.