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MDM2 copy numbers in well-differentiated and dedifferentiated liposarcoma: characterizing progression to high-grade tumors.
[well-differentiated liposarcoma]
MDM
2
gene
amplification
is
associated
with
well-differentiated
(
WDL
)
and
dedifferentiated
liposarcomas
(
DDL
)
.
Using
fluorescent
in
situ
hybridization
(
FISH
)
,
we
sought
to
characterize
various
patterns
of
MDM
2
amplification
among
the
morphologic
spectrum
of
liposarcoma
.
Forty
-
six
cases
of
liposarcoma
in
various
sites
were
examined
and
included
22
WDLs
,
14
DLLs
,
and
10
negative
control
subjects
.
The
MDM
2
amplification
ratio
(
MDM
2
/
CEP
12
)
was
lower
in
WDL
(
10
.
2
)
compared
with
DDL
(
18
.
3
)
cases
(
P
=
.
0000002
)
.
An
amplification
ratio
of
16
showed
optimal
sensitivity
(
0
.
86
)
and
specificity
(
0
.
96
)
as
a
cutoff
point
for
progression
to
DDL
.
Borderline
areas
,
defined
as
tumors
with
increased
cellularity
and
atypia
but
with
preserved
lipomatous
differentiation
,
showed
a
significantly
higher
MDM
2
ratio
(
17
.
5
;
P
=
.
0007
)
compared
with
WDL
.
Central
(
retroperitoneal
and
intra-
abdominal
)
tumors
also
showed
a
significantly
higher
MDM
2
ratio
than
peripheral
ones
(
P
=
.
02
)
.
Differences
in
MDM
2
amplification
profiles
among
liposarcomas
could
help
further
define
and
predict
progression
to
high
-grade
neoplasia
.
Diseases
Validation
Diseases presenting
"neoplasia"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
aniridia
carcinoma of the gallbladder
cholangiocarcinoma
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
familial hypocalciuric hypercalcemia
hodgkin lymphoma, classical
liposarcoma
lymphangioleiomyomatosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
pleomorphic liposarcoma
primary effusion lymphoma
pyomyositis
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
This symptom has already been validated