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Myxoinflammatory fibroblastic sarcoma: an immunohistochemical and molecular genetic study of 73 cases

D. Suster, M. Michal, H. Huang, S. Ronen, S. Springborn, M. Debiec-Rychter, SD. Billings, JR. Goldblum, BP. Rubin, M. Michal, S. Suster, AC. Mackinnon

. 2020 ; 33 (12) : 2520-2533. [pub] 20200608

Language English Country United States

Document type Journal Article, Multicenter Study

Persistent link   https://www.medvik.cz/link/bmc22004790
E-resources Online Full text

NLK Free Medical Journals from 2000 to 1 year ago
ProQuest Central from 2000-01-01 to 2022-12-31
Open Access Digital Library from 2000-01-01
Nursing & Allied Health Database (ProQuest) from 2000-01-01 to 2022-12-31
Health & Medicine (ProQuest) from 2000-01-01 to 2022-12-31

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PubMed 32514165
DOI 10.1038/s41379-020-0580-6
Knihovny.cz E-resources

Myxoinflammatory fibroblastic sarcoma (MIFS) is a rare, low-grade soft tissue neoplasm preferentially arising in the extremities of young to middle-aged adults characterized histologically by a variegated appearance and absence of a distinctive immunophenotype. Herein we have evaluated a series of 73 cases of MIFS to define potential features and markers that may facilitate diagnosis. An immunohistochemical study with a large panel of antibodies showed strong positivity of the tumor cells for bcl-1 (94.5%), FXIIIa (89%), CD10 (80%), and D2-40 (56%). FISH and array comparative genomic hybridization (aCGH) were performed in a large subset of cases to investigate the utility for detecting the TGFBR3 and OGA t(1;10) rearrangement and BRAF abnormalities. Using a combination of FISH and/or aCGH, t(1;10) was detected in only 3 of 54 cases (5.5%). The aCGH study also demonstrated amplification of VGLL3 on chromosome 3 that was detected in 8 of 20 cases (40%). BRAF alterations were observed by FISH in 4 of 70 cases (5.7%) and correlated with gain of chromosome 3p12 (VGLL3). A novel fusion transcript involving exon 6 of ZNF335 and exon 10 of BRAF was identified in one case. Demonstration of amplification of VGLL3 on chromosome 3 in combination with expression of bcl-1 and FXIIIa may help support the diagnosis, however, due to their low specificity these markers are not sufficient for a definitive diagnosis in the absence of the appropriate clinical-pathological context. Until a more robust genetic or immunohistochemical signature is identified, the diagnosis of MIFS rests on its characteristic clinicopathological features.

References provided by Crossref.org

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