Smooth muscle differentiation identifies two classes of poorly differentiated pleomorphic sarcomas with distinct outcome.

Details

Serval ID
serval:BIB_9ECD89390960
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Smooth muscle differentiation identifies two classes of poorly differentiated pleomorphic sarcomas with distinct outcome.
Journal
Modern Pathology
Author(s)
Pérot G., Mendiboure J., Brouste V., Velasco V., Terrier P., Bonvalot S., Guillou L., Ranchère-Vince D., Aurias A., Coindre J.M., Chibon F.
ISSN
1530-0285 (Electronic)
ISSN-L
0893-3952
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
27
Number
6
Pages
840-850
Language
english
Notes
Publication types: Journal Article - Publication Status: ppublish
Abstract
The clinical relevance of accurately diagnosing pleomorphic sarcomas has been shown, especially in cases of undifferentiated pleomorphic sarcomas with myogenic differentiation, which appear significantly more aggressive. To establish a new smooth muscle differentiation classification and to test its prognostic value, 412 sarcomas with complex genetics were examined by immunohistochemistry using four smooth muscle markers (calponin, h-caldesmon, transgelin and smooth muscle actin). Two tumor categories were first defined: tumors with positivity for all four markers and tumors with no or incomplete phenotypes. Multivariate analysis demonstrated that this classification method exhibited the strongest prognostic value compared with other prognostic factors, including histological classification. Secondly, incomplete or absent smooth muscle phenotype tumor group was then divided into subgroups by summing for each tumor the labeling intensities of all four markers for each tumors. A subgroup of tumors with an incomplete but strong smooth muscle differentiation phenotype presenting an intermediate metastatic risk was thus identified. Collectively, our results show that the smooth muscle differentiation classification method may be a useful diagnostic tool as well as a relevant prognostic tool for undifferentiated pleomorphic sarcomas.
Pubmed
Web of science
Open Access
Yes
Create date
11/12/2013 10:13
Last modification date
20/08/2019 16:05
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