Use of fluorescence in situ hybridization to distinguish metastatic uveal from cutaneous melanoma Journal Article


Authors: Fang, Y.; Wang, X.; Dusza, S.; Jhanwar, S.; Abramson, D.; Busam, K. J.
Article Title: Use of fluorescence in situ hybridization to distinguish metastatic uveal from cutaneous melanoma
Abstract: Metastatic lesions of malignant melanoma can on occasion be difficult to classify with regard to the primary site of origin. Given the lack of specificity of light microscopic features, ancillary studies are needed. In this study, the authors explored the possibility of distinguishing metastatic tumors derived from uveal primaries from those known to have originated from a cutaneous melanoma by fluorescence in situ hybridization (FISH) using probes for chromosome 3, 8q24, and 1p36. A total of 32 metastatic tumors were analyzed by FISH. Monosomy 3 was detected in 9 out of 16 (56.3%) cases of metastatic uveal melanoma but was not found in any of the 16 metastatic cutaneous melanomas (P <.001). With regard to 1p36, amplifications were found in 8 out of 16 (50%) cases of metastatic cutaneous melanoma but not in any case of uveal melanoma (P <.05). 1p36 was deleted in 3 cases of uveal and 1 case of cutaneous melanoma. Amplifications of 8q were found in 15 out of 16 (94%) cases of uveal melanoma metastases and in 12 out of 16 (75%) cases of cutaneous metastases. The findings suggest that FISH for monosomy 3 is a useful adjunct tool in the differential diagnosis of metastatic uveal versus cutaneous melanoma. © The Author(s) 2012.
Keywords: adult; clinical article; human tissue; aged; middle aged; young adult; gene deletion; in situ hybridization, fluorescence; melanoma; metastasis; gene amplification; skin neoplasms; diagnosis, differential; differential diagnosis; analytic method; oncogene; fluorescence in situ hybridization; diagnostic value; uvea melanoma; uveal neoplasms; fish; oncogene c myc; chromosome 1p; chromosome 8q; chromosome 3; monosomy; bcl6 gene; cep3 gene; melanoma skin cancer; monosomy 3
Journal Title: International Journal of Surgical Pathology
Volume: 20
Issue: 3
ISSN: 1066-8969
Publisher: Sage Publications  
Date Published: 2012-06-01
Start Page: 246
End Page: 251
Language: English
DOI: 10.1177/1066896912438589
PROVIDER: scopus
PUBMED: 22415057
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 2 July 2012" - "CODEN: IJSPF" - "Source: Scopus"
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MSK Authors
  1. Stephen Dusza
    288 Dusza
  2. David H Abramson
    389 Abramson
  3. Klaus J Busam
    688 Busam
  4. Suresh C Jhanwar
    293 Jhanwar
  5. Yuqiang Fang
    23 Fang
  6. Xuan Wang
    2 Wang