Primary renal sarcoma with SS18::POU5F1 gene fusion Journal Article


Authors: Argani, P.; Matoso, A.; Gross, J. M.; Zhang, Y.; SoRelle, J. A.; Gagan, J.; Antonescu, C. R.; Palsgrove, D.
Article Title: Primary renal sarcoma with SS18::POU5F1 gene fusion
Abstract: We report the first case of a primary renal undifferentiated sarcoma harboring an SS18::POU5F1 gene fusion. The patient was a 38 year-old male diagnosed with a 5 cm renal tumor which invaded the adrenal gland and extended into the renal vein. Microscopically, the neoplasm had a predominantly undifferentiated round cell morphology, with areas of rhabdoid and spindle cell growth. Similar to the previously reported cases with this fusion, by immunohistochemistry the neoplasm expressed S100 protein and epithelial markers (diffuse EMA, focal cytokeratin), suggesting the possibility of a myoepithelial phenotype. This report documents another example of a fusion-positive undifferentiated soft tissue sarcoma occurring as a primary renal neoplasm, adding to the already broad list of such entities. It highlights the crucial role of molecular analysis in establishing a specific diagnosis given the overlapping morphology and immunophenotypes such entities may exhibit. © 2022 The Authors. Genes, Chromosomes and Cancer published by Wiley Periodicals LLC.
Keywords: immunohistochemistry; adult; clinical article; human tissue; protein expression; oncoprotein; human cell; genetics; proto-oncogene proteins; histopathology; case report; disease marker; cancer diagnosis; phenotype; cell structure; cell growth; pathology; tumor marker; kidney neoplasms; sarcoma; fluorescence in situ hybridization; kidney tumor; cancer size; gene fusion; oncogene proteins, fusion; fluorescence microscopy; protein s 100; cell shape; synovial sarcoma; sarcoma, synovial; cytokeratin; octamer transcription factor 4; octamer transcription factor-3; soft tissue neoplasms; soft tissue tumor; pou5f1 protein, human; kidney vein; adrenal gland; molecular diagnosis; renal; tumor invasion; kidney sarcoma; humans; human; male; article; biomarkers, tumor; ss18::pou5f1; ss18 pou5f1 gene fusion
Journal Title: Genes Chromosomes and Cancer
Volume: 61
Issue: 9
ISSN: 1045-2257
Publisher: Wiley Periodicals, Inc  
Date Published: 2022-09-01
Start Page: 572
End Page: 577
Language: English
DOI: 10.1002/gcc.23053
PUBMED: 35521683
PROVIDER: scopus
PMCID: PMC9271602
DOI/URL:
Notes: Article -- Export Date: 1 August 2022 -- Source: Scopus
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  1. Cristina R Antonescu
    895 Antonescu
  2. Yanming Zhang
    199 Zhang