PMID- 9400488 OWN - NLM STAT- MEDLINE DCOM- 19971229 LR - 20190621 IS - 0022-5347 (Print) IS - 0022-5347 (Linking) VI - 159 IP - 1 DP - 1998 Jan TI - Fluorescence in situ hybridization on nuclei from paraffin-embedded tissue in low stage pure embryonal carcinoma of the testis. PG - 240-4 AB - Approximately 30% of patients who present with clinical stage A nonseminomatous testis cancer are in fact pathologic stage B. In previous studies an increasing volume of embryonal carcinoma in the orchiectomy specimen was associated with a higher likelihood of being pathologic stage B. However, not all patients with pure embryonal carcinoma in the primary tumor were pathologic stage B. In an effort to discriminate patients with pure embryonal carcinoma in the testicular specimen relative to pathologic stage, archival specimens from patients presenting with clinical stage A pure embryonal carcinoma were examined by fluorescence in situ hybridization (FISH) with newly developed probes for chromosome arms 12p and 12q. Whole nuclei from archival material from 14 patients (six pathologic stage A, seven pathologic stage B and one stage C) with 100% embryonal carcinoma in the orchiectomy specimen were studied using bicolor FISH with chromosome arm 12p- and 12q-specific painting probes developed by chromosome microdissection. In all cases a blinded analysis showed distinct regions of 12p and 12q probe hybridization simultaneously and allowed identification of probable normal chromosomes 12, as well as regions of amplification of 12p sequences, including possible i(12p). In 5/14 specimens, a distinct and peculiar pattern of 12p hybridization was observed which resembled 12p "disarray" or "multifocal 12p". Of the five specimens demonstrating multifocal 12p, four were pathologic stage B, while one was pathologic stage A. Whether the trend toward multifocal 12p predicts metastatic potential in primary testicular embryonal carcinoma will need to be assessed using a larger series of patients. FAU - Blough, R I AU - Blough RI AD - Department of Medical and Molecular Genetics, Indiana University Medical Center, Indianapolis 46202-5251, USA. FAU - Heerema, N A AU - Heerema NA FAU - Albers, P AU - Albers P FAU - Foster, R S AU - Foster RS LA - eng GR - R35 CA39844/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - J Urol JT - The Journal of urology JID - 0376374 SB - IM MH - Carcinoma, Embryonal/*genetics/pathology MH - *Cell Nucleus MH - *Chromosomes, Human, Pair 12 MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Neoplasm Staging MH - Testicular Neoplasms/*genetics/pathology EDAT- 1997/12/24 00:00 MHDA- 1997/12/24 00:01 CRDT- 1997/12/24 00:00 PHST- 1997/12/24 00:00 [pubmed] PHST- 1997/12/24 00:01 [medline] PHST- 1997/12/24 00:00 [entrez] AID - S0022-5347(01)64075-8 [pii] AID - 10.1016/s0022-5347(01)64075-8 [doi] PST - ppublish SO - J Urol. 1998 Jan;159(1):240-4. doi: 10.1016/s0022-5347(01)64075-8.