PMID- 36744846 OWN - NLM STAT- MEDLINE DCOM- 20230411 LR - 20230411 IS - 1098-2264 (Electronic) IS - 1045-2257 (Linking) VI - 62 IP - 6 DP - 2023 Jun TI - MDM4 amplification in atypical lipomatous tumors/well-differentiated liposarcoma: Private event or alternative oncogenic mechanism? PG - 367-372 LID - 10.1002/gcc.23130 [doi] AB - Adipocytic tumors are the most common mesenchymal tumors in soft tissues. Among them, a diagnostic challenge relies in the distinction between lipoma and atypical lipomatous tumor (ALT)/well differentiated liposarcoma (WDLPS), as both entities are often undistinguishable not only from a radiological point of view, but also at the microscopic level and particularly when dealing with small tumor specimen. Thus, detection of recurrent MDM2 amplifications may be the only criteria to discriminate malignant tumors from lipomas. In this study, we report the case of a patient diagnosed with a well differentiated, adipocytic tumor located in the inferior limb and lacking MDM2 amplification, whose diagnosis was reclassified for ALT/WDLPS after identification of an alternative MDM4 amplification by comparative genomic hybridization profiling, whole exome sequencing and fluorescence in situ hybridization (FISH). Screening of a cohort of 37 large, deep-seated, well-differentiated adipocytic tumors previously classified as lipomas using RT-qPCR and FISH failed to detect other cases of MDM4-amplified ALT/WDLPS. This report shows that MDM4 amplification is an exceptional molecular event alternative to MDM2 amplification in ALT/WDLPS. This alteration should be considered and looked for in suspicious adipocytic tumors to optimize their surgical management. CI - (c) 2023 The Authors. Genes, Chromosomes and Cancer published by Wiley Periodicals LLC. FAU - Gruel, Nadege AU - Gruel N AD - INSERM U830, Equipe Labellisee Ligue Nationale Contre le Cancer, Diversity and Plasticity of Childhood Tumors Lab, PSL Research University, Institut Curie Research Center, Paris, France. AD - Department of Translationnal Research, Institut Curie Research Center, Paris, France. FAU - El Zein, Sophie AU - El Zein S AD - Department of Diagnostic and Theranostic Medecine, Institut Curie Hospital, Paris, France. FAU - Tzanis, Dimitri AU - Tzanis D AD - Department of Surgical Oncology, Institut Curie Hospital, Paris, France. FAU - Nicolas, Nayla AU - Nicolas N AD - Department of Radiology, Institut Curie Hospital, Paris, France. FAU - Maraval, Aurelien AU - Maraval A AD - INSERM U830, Equipe Labellisee Ligue Nationale Contre le Cancer, Diversity and Plasticity of Childhood Tumors Lab, PSL Research University, Institut Curie Research Center, Paris, France. FAU - Fieffe, Christelle AU - Fieffe C AD - INSERM U830, Equipe Labellisee Ligue Nationale Contre le Cancer, Diversity and Plasticity of Childhood Tumors Lab, PSL Research University, Institut Curie Research Center, Paris, France. FAU - Bonvalot, Sylvie AU - Bonvalot S AD - Department of Surgical Oncology, Institut Curie Hospital, Paris, France. FAU - Caly, Martial AU - Caly M AD - Department of Diagnostic and Theranostic Medecine, Institut Curie Hospital, Paris, France. FAU - Fuhrmann, Laetitia AU - Fuhrmann L AD - Department of Diagnostic and Theranostic Medecine, Institut Curie Hospital, Paris, France. FAU - Ait Rais, Khadija AU - Ait Rais K AD - Somatic Genetic Unit, Department of Genetics, Institut Curie Hospital, Paris, France. FAU - Jovelin, Sylvie AU - Jovelin S AD - Department of Diagnostic and Theranostic Medecine, Institut Curie Hospital, Paris, France. FAU - Bonnet, Clement AU - Bonnet C AD - Department of Medical Oncology, Institut Curie Hospital, Paris, France. FAU - Pierron, Gaelle AU - Pierron G AD - Somatic Genetic Unit, Department of Genetics, Institut Curie Hospital, Paris, France. FAU - Watson, Sarah AU - Watson S AUID- ORCID: 0000-0003-4534-8783 AD - INSERM U830, Equipe Labellisee Ligue Nationale Contre le Cancer, Diversity and Plasticity of Childhood Tumors Lab, PSL Research University, Institut Curie Research Center, Paris, France. AD - Department of Medical Oncology, Institut Curie Hospital, Paris, France. LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230221 PL - United States TA - Genes Chromosomes Cancer JT - Genes, chromosomes & cancer JID - 9007329 RN - EC 2.3.2.27 (Proto-Oncogene Proteins c-mdm2) RN - 0 (Biomarkers, Tumor) RN - 0 (MDM4 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Cell Cycle Proteins) SB - IM MH - Humans MH - *Liposarcoma/diagnosis/genetics/pathology MH - Gene Amplification MH - In Situ Hybridization, Fluorescence MH - Comparative Genomic Hybridization MH - Proto-Oncogene Proteins c-mdm2/genetics/metabolism MH - *Lipoma/diagnosis/genetics/pathology MH - Biomarkers, Tumor/genetics MH - Proto-Oncogene Proteins/genetics MH - Cell Cycle Proteins/genetics OTO - NOTNLM OT - MDM4 OT - amplification OT - atypical lipomatous tumor OT - lipoma OT - well differentiated liposarcoma EDAT- 2023/02/07 06:00 MHDA- 2023/04/11 06:42 CRDT- 2023/02/06 08:43 PHST- 2023/01/28 00:00 [revised] PHST- 2023/01/05 00:00 [received] PHST- 2023/01/31 00:00 [accepted] PHST- 2023/04/11 06:42 [medline] PHST- 2023/02/07 06:00 [pubmed] PHST- 2023/02/06 08:43 [entrez] AID - 10.1002/gcc.23130 [doi] PST - ppublish SO - Genes Chromosomes Cancer. 2023 Jun;62(6):367-372. doi: 10.1002/gcc.23130. Epub 2023 Feb 21.