PMID- 8892591 OWN - NLM STAT- MEDLINE DCOM- 19961213 LR - 20190722 IS - 0046-8177 (Print) IS - 0046-8177 (Linking) VI - 27 IP - 10 DP - 1996 Oct TI - Overexpression of bcl-2 protein in synovial sarcoma: a comparative study of other soft tissue spindle cell sarcomas and an additional analysis by fluorescence in situ hybridization. PG - 1060-5 AB - The expression of bcl-2 protein was analyzed in 19 synovial sarcomas and 29 additional soft tissue spindle cell sarcomas as controls by the immunohistologic staining of paraffin-embedded specimens; 15 of 19 (79%) synovial sarcoma cases were positive, but all other spindle cell sarcomas were negative including 20 leiomyosarcomas, 4 malignant peripheral nerve sheath tumors, and 4 fibrosarcomas. In 4 cases of bcl-2-positive synovial sarcoma (3 biphasic and 1 focally glandular type), bcl-2 protein staining was much stronger in the spindle cells than in the epithelial cells. A fluorescence in situ hybridization (FISH) analysis with centromeric and whole chromosome painting probes for chromosome 18 and X was performed on 7 synovial sarcomas. The six cases of bcl-2-positive synovial sarcoma consisted of five cases with the t(X; 18) and one case with tetrasomy of chromosome 18 and X. It has been speculated that bcl-2 protein expression is caused by the 14; 18 translocation and other abnormalities of chromosome 18. This study thus showed the feasibility of such a correlation between bcl-2 protein expression and the characteristic cytogenetic abnormality in the synovial sarcoma-X; 18 translocation. In addition, bcl-2 protein also appears to be a characteristic marker of synovial sarcoma and is thus considered to be potentially useful in distinguishing synovial sarcoma from other spindle cell sarcomas. FAU - Hirakawa, N AU - Hirakawa N AD - Second Department of Pathology, Faculty of Medicine, Kyushu University, Fukuoka, Japan. FAU - Naka, T AU - Naka T FAU - Yamamoto, I AU - Yamamoto I FAU - Fukuda, T AU - Fukuda T FAU - Tsuneyoshi, M AU - Tsuneyoshi M LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (Proto-Oncogene Proteins c-bcl-2) SB - IM MH - Chromosomes, Human, Pair 18 MH - Cytogenetics MH - Female MH - Humans MH - Immunohistochemistry MH - *In Situ Hybridization, Fluorescence MH - Male MH - Proto-Oncogene Proteins c-bcl-2/analysis/*biosynthesis MH - Sarcoma/*chemistry/pathology MH - Sarcoma, Synovial/*chemistry/pathology MH - Soft Tissue Neoplasms/*chemistry/pathology MH - X Chromosome EDAT- 1996/10/01 00:00 MHDA- 1996/10/01 00:01 CRDT- 1996/10/01 00:00 PHST- 1996/10/01 00:00 [pubmed] PHST- 1996/10/01 00:01 [medline] PHST- 1996/10/01 00:00 [entrez] AID - S0046-8177(96)90284-1 [pii] AID - 10.1016/s0046-8177(96)90284-1 [doi] PST - ppublish SO - Hum Pathol. 1996 Oct;27(10):1060-5. doi: 10.1016/s0046-8177(96)90284-1.