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SS18-SSX Rearrangement in Synovial Sarcoma Using Fluorescent in Situ Hybridization: A Report from an Iranian Population and Literature Review | ||
| Middle East Journal of Cancer | ||
| مقاله 11، دوره 11، شماره 4 - شماره پیاپی 44، دی 2020، صفحه 476-482 اصل مقاله (3.58 M) | ||
| نوع مقاله: Original Article(s) | ||
| شناسه دیجیتال (DOI): 10.30476/mejc.2020.82264.1073 | ||
| نویسندگان | ||
| Akbar Safaei؛ Elham Jansar؛ Ahmad Monabati؛ Maral Mokhtari؛ Mehdi Montazer* | ||
| Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran | ||
| چکیده | ||
| Background: Synovial sarcoma is an aggressive soft tissue sarcoma. It has a wide spectrum of histopathologic patterns and uncertain immunohistochemistry, rendering it a diagnostic challenge. The objective of this study was to investigate the diagnostic utility and impact of SS18-SSX rearrangement evaluation in an Iranian population previously diagnosed with synovial sarcoma without such molecular tests. Method: We conducted this cross-sectional study on 44 formalin-fixed paraffin-embedded tissue blocks obtained from 23 synovial sarcoma patients (males, 69%; mean age, 36.4 years) and 11 cases with other neoplasms as negative controls. We assessed these specimens for SSX-SS18 gene rearrangement by break-apart fluorescent in situ hybridization (FISH) probes. Results: FISH study showed SS18-SSX fusion gene in 17 (73.91%) cases while six (26.09%) cases and negative controls did not show SS18-SSX fusion. Histopathologic type of tumor was significantly related to the presence of rearrangement (P=0.002) (rearranged: 11 biphasic and six monophasic tumors; non-rearranged: three monophasic and three poorly-differentiated tumors). Conclusion: This study supports the idea that molecular studies contribute to the confirmation of synovial sarcoma diagnosis, particularly in monophasic and poorly-differentiated subtypes, which show vague immunohistochemical results. | ||
| کلیدواژهها | ||
| Synovial sarcoma؛ Gene fusion؛ Fluorescent in situ hybridization؛ SS18-SSX1 fusion protein | ||
| اصل مقاله | ||
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How to cite this article: Safaei A, Jansar E, Monabati A, Mokhtari M, Montazer M. SS18-SSX rearrangement in synovial sarcoma using fluorescent in situ hybridization: A report from an Iranian population and literature review. Middle East J Cancer. 2020;11(4): 476-82. doi: 10.30476/mejc. 2020.82264.1073. | ||
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