PMID- 37922949 OWN - NLM STAT- MEDLINE DCOM- 20240422 LR - 20240422 IS - 1538-7151 (Electronic) IS - 0277-1691 (Linking) VI - 43 IP - 3 DP - 2024 May 1 TI - Fibroepithelial Stromal Polyp of the Vulvovaginal Region as Part of the RB1 Family of Tumors: Friend or Foe? PG - 215-220 LID - 10.1097/PGP.0000000000000998 [doi] AB - Fibroepithelial stromal polyps (FSPs) are benign mesenchymal lesions occurring in the vulvovaginal region. Following the identification of loss of Retinoblastoma 1 (RB1) on immunohistochemical staining in routine practice, we stained a series of FSPs and performed additional fluorescence in situ hybridization (FISH) and copy number variation (CNV) sequencing to detect losses/deletions in the Retinoblastoma transcriptional corepressor 1 (RB1) gene. Fifteen FSP cases were stained for RB1, and subsequently, 9 cases were examined by FISH to detect a loss of RB1 (13q). Next, CNV sequencing was performed to assess genomic alterations. The mean age of the patients was 50 years. Loss of RB1 expression on immunohistochemistry was seen in 13 cases, and heterogeneous RB1 staining in the remaining 2 cases. FISH showed deletion of RB1 in all of the cases. CNV sequencing failed in almost all cases due to a low tumor content. Based on our findings, we hypothesize that FSPs are part of a spectrum of genetically related lesions, namely the 13q/RB1 family of tumors (which includes pleomorphic fibromas and spindle cell/pleomorphic lipomas). Due to the clinical, morphologic, and molecular overlap, we suggest that FSPs are pleomorphic fibromas occurring in the specialized stroma of the genital region. CI - Copyright (c) 2023 by the International Society of Gynecological Pathologists. FAU - Cordier, Fleur AU - Cordier F FAU - Van Roy, Nadine AU - Van Roy N FAU - Matthys, Bart AU - Matthys B FAU - De Paepe, Pascale AU - De Paepe P FAU - Van de Vijver, Koen AU - Van de Vijver K FAU - Van Dorpe, Jo AU - Van Dorpe J FAU - Creytens, David AU - Creytens D LA - eng PT - Journal Article DEP - 20231004 PL - United States TA - Int J Gynecol Pathol JT - International journal of gynecological pathology : official journal of the International Society of Gynecological Pathologists JID - 8214845 RN - 0 (RB1 protein, human) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - 0 (Retinoblastoma Binding Proteins) SB - IM MH - Humans MH - Middle Aged MH - In Situ Hybridization, Fluorescence MH - *Retinoblastoma/pathology MH - DNA Copy Number Variations MH - *Skin Neoplasms/pathology MH - *Fibroma/pathology MH - *Polyps MH - *Retinal Neoplasms MH - Ubiquitin-Protein Ligases/genetics MH - Retinoblastoma Binding Proteins/genetics COIS- The authors declare no conflict of interest. EDAT- 2023/11/06 03:54 MHDA- 2024/04/22 06:43 CRDT- 2023/11/03 20:13 PHST- 2024/04/22 06:43 [medline] PHST- 2023/11/06 03:54 [pubmed] PHST- 2023/11/03 20:13 [entrez] AID - 00004347-990000000-00121 [pii] AID - 10.1097/PGP.0000000000000998 [doi] PST - ppublish SO - Int J Gynecol Pathol. 2024 May 1;43(3):215-220. doi: 10.1097/PGP.0000000000000998. Epub 2023 Oct 4.