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Atypical fibroxanthoma and pleomorphic dermal sarcoma harbor frequent NOTCH1/2 and FAT1 mutations and similar DNA copy number alteration profiles.
Griewank, Klaus G; Wiesner, Thomas; Murali, Rajmohan; Pischler, Carina; Müller, Hansgeorg; Koelsche, Christian; Möller, Inga; Franklin, Cindy; Cosgarea, Ioana; Sucker, Antje; Schadendorf, Dirk; Schaller, Jörg; Horn, Susanne; Brenn, Thomas; Mentzel, Thomas.
Afiliación
  • Griewank KG; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Wiesner T; Dermatopathologie bei Mainz, Nieder-Olm, Germany.
  • Murali R; Department of Dermatology, Medical University of Vienna, Vienna, Austria.
  • Pischler C; Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • Müller H; Institute of Human Genetics, Medical University of Graz, Graz, Austria.
  • Koelsche C; Dermatopathology Friedrichshafen, Friedrichshafen, Germany.
  • Möller I; Department of Neuropathology, Ruprecht-Karls-University Heidelberg, and Clinical Cooperation Unit Neuropathology, and DKTK, DKFZ, Heidelberg, Germany.
  • Franklin C; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Cosgarea I; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Sucker A; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Schadendorf D; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Schaller J; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Horn S; Dermatopathology Duisburg, Duisburg, Germany.
  • Brenn T; Department of Dermatology, University Hospital, University Duisburg-Essen, Essen, Germany.
  • Mentzel T; Department of Pathology, Western General Hospital, University of Edinburgh, Edinburgh, UK.
Mod Pathol ; 31(3): 418-428, 2018 03.
Article en En | MEDLINE | ID: mdl-29099504
Atypical fibroxanthomas and pleomorphic dermal sarcomas are tumors arising in sun-damaged skin of elderly patients. They have differing prognoses and are currently distinguished using histological criteria, such as invasion of deeper tissue structures, necrosis and lymphovascular or perineural invasion. To investigate the as-yet poorly understood genetics of these tumors, 41 atypical fibroxanthomas and 40 pleomorphic dermal sarcomas were subjected to targeted next-generation sequencing approaches as well as DNA copy number analysis by comparative genomic hybridization. In an analysis of the entire coding region of 341 oncogenes and tumor suppressor genes in 13 atypical fibroxanthomas using an established hybridization-based next-generation sequencing approach, we found that these tumors harbor a large number of mutations. Gene alterations were identified in more than half of the analyzed samples in FAT1, NOTCH1/2, CDKN2A, TP53, and the TERT promoter. The presence of these alterations was verified in 26 atypical fibroxanthoma and 35 pleomorphic dermal sarcoma samples by targeted amplicon-based next-generation sequencing. Similar mutation profiles in FAT1, NOTCH1/2, CDKN2A, TP53, and the TERT promoter were identified in both atypical fibroxanthoma and pleomorphic dermal sarcoma. Activating RAS mutations (G12 and G13) identified in 3 pleomorphic dermal sarcoma were not found in atypical fibroxanthoma. Comprehensive DNA copy number analysis demonstrated a wide array of different copy number gains and losses, with similar profiles in atypical fibroxanthoma and pleomorphic dermal sarcoma. In summary, atypical fibroxanthoma and pleomorphic dermal sarcoma are highly mutated tumors with recurrent mutations in FAT1, NOTCH1/2, CDKN2A, TP53, and the TERT promoter, and a range of DNA copy number alterations. These findings suggest that atypical fibroxanthomas and pleomorphic dermal sarcomas are genetically related, potentially representing two ends of a common tumor spectrum and distinguishing these entities is at present still best performed using histological criteria.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sarcoma / Neoplasias Cutáneas / Cadherinas / Receptor Notch1 / Receptor Notch2 Tipo de estudio: Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Mod Pathol Asunto de la revista: PATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Sarcoma / Neoplasias Cutáneas / Cadherinas / Receptor Notch1 / Receptor Notch2 Tipo de estudio: Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Mod Pathol Asunto de la revista: PATOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Estados Unidos