Autor: |
Clarkson Paul W, Hayes Malcolm M, Horsman Douglas E, Pacheco Marina, Huwait Hassan, Nielsen Torsten O |
Jazyk: |
angličtina |
Rok vydání: |
2010 |
Předmět: |
|
Zdroj: |
Molecular Cytogenetics, Vol 3, Iss 1, p 12 (2010) |
Druh dokumentu: |
article |
ISSN: |
1755-8166 |
DOI: |
10.1186/1755-8166-3-12 |
Popis: |
Abstract Background The group of small blue round cell tumors encompasses a heterogeneous group of neoplasms characterized by primitive appearing round cells with few distinguishing histologic features. Results We report the case of a small blue round cell tumor with an EWS gene rearrangement detected by fluorescent in situ hybridization (FISH) analysis that mimicked Ewing sarcoma, but with unusual histology and immunohistochemical features. Multi-color karyotyping identified the presence of a t(2;22)(q34;q12) that was initially expected to represent a variant EWSR1-FEV translocation. After an extensive workup, the lesion is considered to represent a clear cell sarcoma harboring an EWSR1-CREB1 fusion transcript. Conclusions This case appears to represent a rare variant of clear cell sarcoma arising in peripheral soft tissues with unusual histology and unique immunophenotype. In this circumstance, FISH for all EWSR1 translocation partners or RT- PCR for a spectrum of possible transcript variants is critically important for diagnosis, since cytogenetic analysis or clinical FISH assay using only commercial EWSR1 probes will be misleading. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
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