Sarcomas

  • Chapter
  • First Online:
Genomic Medicine
  • 1040 Accesses

Abstract

Soft tissue pathology encompasses a remarkably diverse assortment of more than 100 benign and malignant tumors. Two major groups of genetic events can be seen in sarcomas. The first comprises of tumors with translocations or alternatively specific activating or inactivating mutations within oncogenes or tumor suppressor genes, respectively. Often these tumors occur in a setting of simple karyotype. The second major group is associated with multiple and complex chromosomal changes. During the past 2 decades, the discovery of molecular alterations that underlie the pathogenesis of soft tissue tumors, especially in the first major group, have demonstrated their increasingly important role in mesenchymal tumor diagnostics. In this chapter we present the most updated information regarding the molecular pathogenesis of mesenchymal tumors, highlighting its importance in potential exploitation for diagnostic purposes with various ancillary techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (Canada)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (Canada)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 129.99
Price excludes VAT (Canada)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

Selected References

  1. Smith SM, Coleman J, Bridge JA, Iwenofu OH. Molecular diagnostics in soft tissue sarcomas and gastrointestinal stromal tumors. J Surg Oncol. 2015r;111(5):520–31. https://doi.org/10.1002/jso.23882. Epub 2015 Mar 13. Review. PubMed PMID: 25772665.

    Article  PubMed  Google Scholar 

  2. Bridge JA. The role of cytogenetics and molecular diagnostics in the diagnosis of soft-tissue tumors. Mod Pathol. 2014;27(Suppl 1):S80–97. https://doi.org/10.1038/modpathol.2013.179. Review. PubMed PMID: 24384855.

    Article  PubMed  Google Scholar 

  3. Bridge JA, Cushman-Vokoun AM. Molecular diagnostics of soft tissue tumors. Arch Pathol Lab Med. 2011;135(5):588–601. https://doi.org/10.1043/2010-0594-RAIR.1. Review. PubMed PMID: 21526957.

    Article  CAS  PubMed  Google Scholar 

  4. Guo T, Zhang L, Chang NE, Singer S, Maki RG, Antonescu CR. Consistent MYC and FLT4 gene amplification in radiation-induced angiosarcoma but not in other radiation-associated atypical vascular lesions. Genes Chromosomes Cancer. 2011;50(1):25–33. https://doi.org/10.1002/gcc.20827. PubMed PMID: 20949568; PubMed Central PMCID: PMC3150534.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Huang SC, Ghossein RA, Bishop JA, Zhang L, Chen TC, Huang HY, Antonescu CR. Novel PAX3-NCOA1 fusions in biphenotypic sinonasal sarcoma with focal rhabdomyoblastic differentiation. Am J Surg Pathol. 2016;40(1):51–9. https://doi.org/10.1097/PAS.0000000000000492. PubMed PMID: 26371783; PubMed Central PMCID: PMC4679641.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Le Loarer F, Laffont S, Lesluyes T, Tirode F, Antonescu C, Baglin AC, Delespaul L, Soubeyran I, Hostein I, Pérot G, Chibon F, Baud J, Le Guellec S, Karanian M, Costes-Martineau V, Castain C, Eimer S, Le Bail B, Wassef M, Coindre JM. Clinicopathologic and molecular features of a series of 41 biphenotypic sinonasal sarcomas expanding their molecular spectrum. Am J Surg Pathol. 2019. https://doi.org/10.1097/PAS.0000000000001238. [Epub ahead of print] PubMed PMID: 30829729.

    Article  Google Scholar 

  7. Dickson BC, Hornick JL, Fletcher CDM, Demicco EG, Howarth DJ, Swanson D, Zhang L, Sung YS, Antonescu CR. Dermatofibrosarcoma protuberans with a novel COL6A3-PDGFD fusion gene and apparent predilection for breast. Genes Chromosomes Cancer. 2018;57(9):437–45. https://doi.org/10.1002/gcc.22663. Epub 2018 Aug 14. PubMed PMID: 30014607.

    Article  CAS  PubMed  Google Scholar 

  8. Dadone-Montaudié B, Alberti L, Duc A, Delespaul L, Lesluyes T, Pérot G, Lançon A, Paindavoine S, Di Mauro I, Blay JY, de la Fouchardière A, Chibon F, Karanian M, MacGrogan G, Kubiniek V, Keslair F, Cardot-Leccia N, Michot A, Perrin V, Zekri Y, Coindre JM, Tirode F, Pedeutour F, Ranchère-Vince D, Le Loarer F, Pissaloux D. Alternative PDGFD rearrangements in dermatofibrosarcomas protuberans without PDGFB fusions. Mod Pathol. 2018;31(11):1683–93. Epub 2018 Jun 28. PubMed PMID: 29955147. https://doi.org/10.1038/s41379-018-0089-4.

    Article  Google Scholar 

  9. Lewis N, Soslow RA, Delair DF, Park KJ, Murali R, Hollmann TJ, Davidson B, Micci F, Panagopoulos I, Hoang LN, Arias-Stella JA 3rd, Oliva E, Young RH, Hensley ML, Leitao MM Jr, Hameed M, Benayed R, Ladanyi M, Frosina D, Jungbluth AA, Antonescu CR, Chiang S. ZC3H7B-BCOR high-grade endometrial stromal sarcomas: a report of 17 cases of a newly defined entity. Mod Pathol. 2018;31(4):674–84. https://doi.org/10.1038/modpathol.2017.162. Epub 2017 Dec 1. PubMed PMID: 29192652.

    Article  PubMed  Google Scholar 

  10. Shah AA, Ohori NP, Yip L, Coyne C, Antonescu CR, Seethala RR. Epithelioid hemangioendothelioma: a rare primary thyroid tumor with confirmation of WWTR1 and CAMTA1 rearrangements. Endocr Pathol. 2016;27(2):147–52. https://doi.org/10.1007/s12022-016-9428-5. PubMed PMID: 27026033.

    Article  PubMed  Google Scholar 

  11. Anderson T, Zhang L, Hameed M, Rusch V, Travis WD, Antonescu CR. Thoracic epithelioid malignant vascular tumors: a clinicopathologic study of 52 cases with emphasis on pathologic grading and molecular studies of WWTR1-CAMTA1 fusions. Am J Surg Pathol. 2015;39(1):132–9. https://doi.org/10.1097/PAS.0000000000000346. PubMed PMID: 25353289; PubMed Central PMCID: PMC4268225.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Antonescu CR, Le Loarer F, Mosquera JM, Sboner A, Zhang L, Chen CL, Chen HW, Pathan N, Krausz T, Dickson BC, Weinreb I, Rubin MA, Hameed M, Fletcher CD. Novel YAP1-TFE3 fusion defines a distinct subset of epithelioid hemangioendothelioma. Genes Chromosomes Cancer. 2013;52(8):775–84. https://doi.org/10.1002/gcc.22073. Epub 2013 Jun 5. PubMed PMID: 23737213; PubMed Central PMCID: PMC4089994.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Errani C, Zhang L, Sung YS, Hajdu M, Singer S, Maki RG, Healey JH, Antonescu CR. A novel WWTR1-CAMTA1 gene fusion is a consistent abnormality in epithelioid hemangioendothelioma of different anatomic sites. Genes Chromosomes Cancer. 2011;50(8):644–53. https://doi.org/10.1002/gcc.20886. Epub 2011 May 16. PubMed PMID: 21584898; PubMed Central PMCID: PMC3264678.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Chen S, Deniz K, Sung YS, Zhang L, Dry S, Antonescu CR. Ewing sarcoma with ERG gene rearrangements: a molecular study focusing on the prevalence of FUS-ERG and common pitfalls in detecting EWSR1-ERG fusions by FISH. Genes Chromosomes Cancer. 2016;55(4):340–9. https://doi.org/10.1002/gcc.22336. Epub 2015 Dec 22. PubMed PMID: 26690869; PubMed Central PMCID: PMC5006947.

    Article  CAS  PubMed  Google Scholar 

  15. Lawrence B, Perez-Atayde A, Hibbard MK, Rubin BP, Dal Cin P, Pinkus JL, Pinkus GS, **ao S, Yi ES, Fletcher CD, Fletcher JA. TPM3-ALK and TPM4-ALK oncogenes in inflammatory myofibroblastic tumors. Am J Pathol. 2000;157(2):377–84. PubMed PMID: 10934142; PubMed Central PMCID: PMC1850130.

    Article  CAS  Google Scholar 

  16. Arias-Stella JA 3rd, Benayed R, Oliva E, Young RH, Hoang LN, Lee CH, Jungbluth AA, Frosina D, Soslow RA, Antonescu CR, Ladanyi M, Chiang S. Novel PLAG1 gene rearrangement distinguishes a subset of uterine myxoid leiomyosarcoma from other uterine myxoid mesenchymal tumors. Am J Surg Pathol. 2018. https://doi.org/10.1097/PAS.0000000000001196. [Epub ahead of print] PubMed PMID: 30489320.

    Article  Google Scholar 

  17. Huang SC, Chen HW, Zhang L, Sung YS, Agaram NP, Davis M, Edelman M, Fletcher CD, Antonescu CR. Novel FUS-KLF17 and EWSR1-KLF17 fusions in myoepithelial tumors. Genes Chromosomes Cancer. 2015;54(5):267–75. https://doi.org/10.1002/gcc.22240. Epub 2015 Feb 23. PubMed PMID: 25706482; PubMed Central PMCID: PMC4376655.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  18. Agaram NP, Chen HW, Zhang L, Sung YS, Panicek D, Healey JH, Nielsen GP, Fletcher CD, Antonescu CR. EWSR1-PBX3: a novel gene fusion in myoepithelial tumors. Genes Chromosomes Cancer. 2015;54(2):63–71. https://doi.org/10.1002/gcc.22216. Epub 2014 Sep 18. PubMed PMID: 25231231; PubMed Central PMCID: PMC4268355.

    Article  CAS  PubMed  Google Scholar 

  19. Kao YC, Ranucci V, Zhang L, Sung YS, Athanasian EA, Swanson D, Dickson BC, Antonescu CR. Recurrent BRAF gene rearrangements in myxoinflammatory fibroblastic sarcomas, but not hemosiderotic fibrolipomatous tumors. Am J Surg Pathol. 2017;41(11):1456–65. https://doi.org/10.1097/PAS.0000000000000899. PubMed PMID: 28692601; PubMed Central PMCID: PMC5636656.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Antonescu CR, Zhang L, Nielsen GP, Rosenberg AE, Dal Cin P, Fletcher CD. Consistent t(1;10) with rearrangements of TGFBR3 and MGEA5 in both myxoinflammatory fibroblastic sarcoma and hemosiderotic fibrolipomatous tumor. Genes Chromosomes Cancer. 2011;50(10):757–64. https://doi.org/10.1002/gcc.20897. Epub 2011 Jun 29. PubMed PMID: 21717526; PubMed Central PMCID: PMC3361892.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Suurmeijer AJ, Song W, Sung YS, Zhang L, Swanson D, Fletcher CD, Dickson BC, Antonescu CR. Novel recurrent PHF1-TFE3 fusions in ossifying fibromyxoid tumors. Genes Chromosomes Cancer. 2019. https://doi.org/10.1002/gcc.22755. [Epub ahead of print] PubMed PMID: 30920708.

  22. Kao YC, Sung YS, Zhang L, Chen CL, Huang SC, Antonescu CR. Expanding the molecular signature of ossifying fibromyxoid tumors with two novel gene fusions: CREBBP-BCORL1 and KDM2A-WWTR1. Genes Chromosomes Cancer. 2017;56(1):42–50. https://doi.org/10.1002/gcc.22400. Epub 2016 Aug 26. PubMed PMID: 27537276; PubMed Central PMCID: PMC5570549.

    Article  CAS  PubMed  Google Scholar 

  23. Antonescu CR, Sung YS, Chen CL, Zhang L, Chen HW, Singer S, Agaram NP, Sboner A, Fletcher CD. Novel ZC3H7B-BCOR, MEAF6-PHF1, and EPC1-PHF1 fusions in ossifying fibromyxoid tumors--molecular characterization shows genetic overlap with endometrial stromal sarcoma. Genes Chromosomes Cancer. 2014;53(2):183–93. https://doi.org/10.1002/gcc.22132. Epub 2013 Nov 28. PubMed PMID: 24285434; PubMed Central.

    Article  CAS  PubMed  Google Scholar 

  24. Agaram NP, Sung YS, Zhang L, Chen CL, Chen HW, Singer S, Dickson MA, Berger MF, Antonescu CR. Dichotomy of genetic abnormalities in PEComas with therapeutic implications. Am J Surg Pathol. 2015;39(6):813–25. https://doi.org/10.1097/PAS.0000000000000389. PubMed PMID: 25651471; PubMed Central PMCID: PMC4431898.

    Article  PubMed  PubMed Central  Google Scholar 

  25. McGregor SM, Alikhan MB, John RA, Kotler H, Bridge JA, Mujacic I, Kadri S, Segal J, Krausz T. Melanotic PEComa of the sinonasal mucosa with NONO-TFE3 fusion: an elusive mimic of sinonasal melanoma. Am J Surg Pathol. 2017;41(5):717–22. https://doi.org/10.1097/PAS.0000000000000778. PubMed PMID: 28009605.

    Article  PubMed  Google Scholar 

  26. Agaram NP, Zhang L, Cotzia P, Antonescu CR. Expanding the spectrum of genetic alterations in pseudomyogenic hemangioendothelioma with recurrent novel ACTB-FOSB gene fusions. Am J Surg Pathol. 2018;42(12):1653–61. https://doi.org/10.1097/PAS.0000000000001147. PubMed PMID: 30256258.

    Article  PubMed  Google Scholar 

  27. Zhu G, Benayed R, Ho C, Mullaney K, Sukhadia P, Rios K, Berry R, Rubin BP, Nafa K, Wang L, Klimstra DS, Ladanyi M, Hameed MR. Diagnosis of known sarcoma fusions and novel fusion partners by targeted RNA sequencing with identification of a recurrent ACTB-FOSB fusion in pseudomyogenic hemangioendothelioma. Mod Pathol. 2018. https://doi.org/10.1038/s41379-018-0175-7. [Epub ahead of print] PubMed PMID: 30459475.

    Article  Google Scholar 

  28. Prieto-Granada C, Zhang L, Chen HW, Sung YS, Agaram NP, Jungbluth AA, Antonescu CR. A genetic dichotomy between pure sclerosing epithelioid fibrosarcoma (SEF) and hybrid SEF/low-grade fibromyxoid sarcoma: a pathologic and molecular study of 18 cases. Genes Chromosomes Cancer. 2015;54(1):28–38. https://doi.org/10.1002/gcc.22215. Epub 2014 Sep 18. PubMed PMID: 25231134; PubMed Central PMCID: PMC4232448.

    Article  CAS  PubMed  Google Scholar 

  29. Robinson DR, Wu YM, Kalyana-Sundaram S, Cao X, Lonigro RJ, Sung YS, Chen CL, Zhang L, Wang R, Su F, Iyer MK, Roychowdhury S, Siddiqui J, Pienta KJ, Kunju LP, Talpaz M, Mosquera JM, Singer S, Schuetze SM, Antonescu CR, Chinnaiyan AM. Identification of recurrent NAB2-STAT6 gene fusions in solitary fibrous tumor by integrative sequencing. Nat Genet. 2013;45(2):180–5. https://doi.org/10.1038/ng.2509. Epub 2013 Jan 13. PubMed PMID: 23313952; PubMed Central PMCID: PMC3654808.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Mosquera JM, Sboner A, Zhang L, Kitabayashi N, Chen CL, Sung YS, Wexler LH, LaQuaglia MP, Edelman M, Sreekantaiah C, Rubin MA, Antonescu CR. Recurrent NCOA2 gene rearrangements in congenital/infantile spindle cell rhabdomyosarcoma. Genes Chromosomes Cancer. 2013;52(6):538–50. https://doi.org/10.1002/gcc.22050. Epub 2013 Mar 5. PubMed PMID: 23463663; PubMed Central PMCID: PMC3734530.

    Article  CAS  PubMed  Google Scholar 

  31. Agaram NP, LaQuaglia MP, Alaggio R, Zhang L, Fujisawa Y, Ladanyi M, Wexler LH, Antonescu CR. MYOD1-mutant spindle cell and sclerosing rhabdomyosarcoma: an aggressive subtype irrespective of age. A reappraisal for molecular classification and risk stratification. Mod Pathol. 2018. https://doi.org/10.1038/s41379-018-0120-9. [Epub ahead of print] PubMed PMID: 30181563.

    Article  Google Scholar 

  32. Alaggio R, Zhang L, Sung YS, Huang SC, Chen CL, Bisogno G, Zin A, Agaram NP, LaQuaglia MP, Wexler LH, Antonescu CR. A molecular study of pediatric spindle and sclerosing rhabdomyosarcoma: identification of novel and recurrent VGLL2-related fusions in infantile cases. Am J Surg Pathol. 2016;40(2):224–35. https://doi.org/10.1097/PAS.0000000000000538. PubMed PMID: 26501226; PubMed Central PMCID: PMC4712098.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Agaram NP, Chen CL, Zhang L, LaQuaglia MP, Wexler L, Antonescu CR. Recurrent MYOD1 mutations in pediatric and adult sclerosing and spindle cell rhabdomyosarcomas: evidence for a common pathogenesis. Genes Chromosomes Cancer. 2014;53(9):779–87. https://doi.org/10.1002/gcc.22187. Epub 2014 May 14. PubMed PMID: 24824843; PubMed Central PMCID: PMC4108340.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  34. Alholle A, Karanian M, Brini AT, Morris MR, Kannappan V, Niada S, Niblett A, Ranchère-Vince D, Pissaloux D, Delfour C, Maran-Gonzalez A, Antonescu CR, Sumathi V, Tirode F, Latif F. Genetic analyses of undifferentiated small round cell sarcoma identifies a novel sarcoma subtype with a recurrent CRTC1-SS18 gene fusion. J Pathol. 2018;245(2):186–96. https://doi.org/10.1002/path.5071. Epub 2018 Apr 16. PubMed PMID: 29533464.

    Article  CAS  PubMed  Google Scholar 

  35. Kao YC, Owosho AA, Sung YS, Zhang L, Fujisawa Y, Lee JC, Wexler L, Argani P, Swanson D, Dickson BC, Fletcher CDM, Antonescu CR. BCOR-CCNB3 fusion positive sarcomas: a clinicopathologic and molecular analysis of 36 cases with comparison to morphologic spectrum and clinical behavior of other round cell sarcomas. Am J Surg Pathol. 2018;42(5):604–15. https://doi.org/10.1097/PAS.0000000000000965. PubMed PMID: 29300189; PubMed Central PMCID: PMC5893395.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Antonescu CR, Owosho AA, Zhang L, Chen S, Deniz K, Huryn JM, Kao YC, Huang SC, Singer S, Tap W, Schaefer IM, Fletcher CD. Sarcomas with CIC-rearrangements are a distinct pathologic entity with aggressive outcome: a clinicopathologic and molecular study of 115 cases. Am J Surg Pathol. 2017;41(7):941–9. https://doi.org/10.1097/PAS.0000000000000846. PubMed PMID: 28346326; PubMed Central PMCID: PMC5468475.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Yoshimoto T, Tanaka M, Homme M, Yamazaki Y, Takazawa Y, Antonescu CR, Nakamura T. CIC-DUX4 induces small round cell sarcomas distinct from Ewing sarcoma. Cancer Res. 2017;77(11):2927–37. https://doi.org/10.1158/0008-5472.CAN-16-3351. Epub 2017 Apr 12. PubMed PMID: 28404587; PubMed Central PMCID: PMC5488331.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  38. Antonescu C. Round cell sarcomas beyond Ewing: emerging entities. Histopathology. 2014;64(1):26–37. https://doi.org/10.1111/his.12281. Epub 2013 Nov 12. Review. PubMed PMID: 24215322.

    Article  PubMed  Google Scholar 

  39. Koelsche C, Hartmann W, Schrimpf D, Stichel D, Jabar S, Ranft A, Reuss DE, Sahm F, Jones DTW, Bewerunge-Hudler M, Trautmann M, Klingebiel T, Vokuhl C, Gessler M, Wardelmann E, Petersen I, Baumhoer D, Flucke U, Antonescu C, Esteller M, Fröhling S, Kool M, Pfister SM, Mechtersheimer G, Dirksen U, von Deimling A. Array-based DNA-methylation profiling in sarcomas with small blue round cell histology provides valuable diagnostic information. Mod Pathol. 2018;31(8):1246–56. https://doi.org/10.1038/s41379-018-0045-3. Epub 2018 Mar 23. PubMed PMID: 29572501.

    Article  CAS  PubMed  Google Scholar 

  40. Schaefer IM, Dal Cin P, Landry LM, Fletcher CDM, Hanna GJ, French CA. CIC-NUTM1 fusion: a case which expands the spectrum of NUT-rearranged epithelioid malignancies. Genes Chromosomes Cancer. 2018;57(9):446–51. https://doi.org/10.1002/gcc.3. Epub 2018 Aug 14. PubMed PMID: 29700887.

    Article  CAS  PubMed  Google Scholar 

  41. Sugita S, Arai Y, Aoyama T, Asanuma H, Mukai W, Hama N, Emori M, Shibata T, Hasegawa T. NUTM2A-CIC fusion small round cell sarcoma: a genetically distinct variant of CIC-rearranged sarcoma. Hum Pathol. 2017;65:225–30. https://doi.org/10.1016/j.humpath.2017.01.012. Epub 2017 Feb 8. PubMed PMID: 28188754.

    Article  CAS  PubMed  Google Scholar 

  42. Argani P, Reuter VE, Kapur P, Brown JE, Sung YS, Zhang L, Williamson R, Francis G, Sommerville S, Swanson D, Dickson BC, Antonescu CR. Novel MEIS1-NCOA2 gene fusions define a distinct primitive spindle cell sarcoma of the kidney. Am J Surg Pathol. 2018;42(11):1562–70. https://doi.org/10.1097/PAS.0000000000001140. PubMed PMID: 30179902.

    Article  PubMed  Google Scholar 

  43. Dickson BC, Sung YS, Rosenblum MK, Reuter VE, Harb M, Wunder JS, Swanson D, Antonescu CR. NUTM1 gene fusions characterize a subset of undifferentiated soft tissue and visceral tumors. Am J Surg Pathol. 2018;42(5):636–45. https://doi.org/10.1097/PAS.0000000000001021. PubMed PMID: 29356724; PubMed Central PMCID: PMC5893407.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Diolaiti D, Dela Cruz FS, Gundem G, Bouvier N, Boulad M, Zhang Y, Chou AJ, Dunkel IJ, Sanghvi R, Shah M, Geiger H, Rahman S, Felice V, Wrzeszczynski KO, Darnell RB, Antonescu CR, French CA, Papaemmanuil E, Kung AL, Shukla N. A recurrent novel MGA-NUTM1 fusion identifies a new subtype of high-grade spindle cell sarcoma. Cold Spring Harb Mol Case Stud. 2018;4(6). pii: a003194. https://doi.org/10.1101/mcs.a003194. Print 2018 Dec. PubMed PMID: 30552129.

    Article  CAS  Google Scholar 

  45. Tamura R, Nakaoka H, Yoshihara K, Mori Y, Yachida N, Nishikawa N, Motoyama T, Okuda S, Inoue I, Enomoto T. Novel MXD4-NUTM1 fusion transcript identified in primary ovarian undifferentiated small round cell sarcoma. Genes Chromosomes Cancer. 2018;57(11):557–63. https://doi.org/10.1002/gcc.22668. PubMed PMID: 30338611; PubMed Central PMCID: PMC6221051.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Chiang S, Cotzia P, Hyman DM, Drilon A, Tap WD, Zhang L, Hechtman JF, Frosina D, Jungbluth AA, Murali R, Park KJ, Soslow RA, Oliva E, Iafrate AJ, Benayed R, Ladanyi M, Antonescu CR. NTRK fusions define a novel uterine sarcoma subtype with features of fibrosarcoma. Am J Surg Pathol. 2018;42(6):791–8. https://doi.org/10.1097/PAS.0000000000001055. PubMed PMID: 29553955.

    Article  PubMed  Google Scholar 

  47. Michal M, Berry RS, Rubin BP, Kilpatrick SE, Agaimy A, Kazakov DV, Steiner P, Ptakova N, Martinek P, Hadravsky L, Michalova K, Szep Z, Michal M. EWSR1-SMAD3-rearranged fibroblastic tumor: an emerging entity in an increasingly more complex group of fibroblastic/myofibroblastic neoplasms. Am J Surg Pathol. 2018;42(10):1325–33. https://doi.org/10.1097/PAS.0000000000001109. PubMed PMID: 29957732.

    Article  PubMed  Google Scholar 

  48. Kao YC, Flucke U, Eijkelenboom A, Zhang L, Sung YS, Suurmeijer AJH, Antonescu CR. Novel EWSR1-SMAD3 gene fusions in a group of acral fibroblastic spindle cell neoplasms. Am J Surg Pathol. 2018;42(4):522–8. https://doi.org/10.1097/PAS.0000000000001002. PubMed PMID: 29309308; PubMed Central PMCID: PMC5844807.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Mariño-Enríquez A, Fletcher CD. Angiofibroma of soft tissue: clinicopathologic characterization of a distinctive benign fibrovascular neoplasm in a series of 37 cases. Am J Surg Pathol. 2012;36(4):500–8. https://doi.org/10.1097/PAS.0b013e31823defbe. PubMed PMID: 22301504.

    Article  PubMed  Google Scholar 

  50. Dickson BC, Antonescu CR, Argyris PP, Bilodeau EA, Bullock MJ, Freedman PD, Gnepp DR, Jordan RC, Koutlas IG, Lee CH, Leong I, Merzianu M, Purgina BM, Thompson LDR, Wehrli B, Wright JM, Swanson D, Zhang L, Bishop JA. Ectomesenchymal chondromyxoid tumor: a neoplasm characterized by recurrent RREB1-MKL2 fusions. Am J Surg Pathol. 2018;42(10):1297–305. https://doi.org/10.1097/PAS.0000000000001096. PubMed PMID: 29912715; PubMed Central PMCID: PMC6133728.

    Article  PubMed  Google Scholar 

  51. Doyle LA, Mariño-Enriquez A, Fletcher CD, Hornick JL. ALK rearrangement and overexpression in epithelioid fibrous histiocytoma. Mod Pathol. 2015;28(7):904–12. https://doi.org/10.1038/modpathol.2015.49. Epub 2015 Apr 10. PubMed PMID: 25857825.

    Article  CAS  PubMed  Google Scholar 

  52. Flucke U, Shepard SJ, Bekers EM, Tirabosco R, van Diest PJ, Creytens D, van Gorp JM. Fibro-osseous pseudotumor of digits - expanding the spectrum of clonal transient neoplasms harboring USP6 rearrangement. Ann Diagn Pathol. 2018;35:53–5. https://doi.org/10.1016/j.anndiagpath.2018.05.003. Epub 2018 May 12. PubMed PMID: 29787930.

    Article  PubMed  Google Scholar 

  53. Agaram NP, Zhang L, Sung YS, Chen CL, Chung CT, Antonescu CR, Fletcher CD. Recurrent NTRK1 gene fusions define a novel subset of locally aggressive lipofibromatosis-like neural tumors. Am J Surg Pathol. 2016;40(10):1407–16. https://doi.org/10.1097/PAS.0000000000000675. PubMed PMID: 27259011; PubMed Central PMCID: PMC5023452.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Antonescu CR, Sung YS, Zhang L, Agaram NP, Fletcher CD. Recurrent SRF-RELA fusions define a novel subset of cellular myofibroma/myopericytoma: a potential diagnostic pitfall with sarcomas with myogenic differentiation. Am J Surg Pathol. 2017;41(5):677–84. https://doi.org/10.1097/PAS.0000000000000811. PubMed PMID: 28248815; PubMed Central PMCID: PMC5391281.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Hung YP, Fletcher CDM. Myopericytomatosis: clinicopathologic analysis of 11 cases with molecular identification of recurrent PDGFRB alterations in myopericytomatosis and myopericytoma. Am J Surg Pathol. 2017;41(8):1034–44. https://doi.org/10.1097/PAS.0000000000000862. PubMed PMID: 28505006.

    Article  PubMed  Google Scholar 

  56. Fittall MW, Mifsud W, Pillay N, Ye H, Strobl AC, Verfaillie A, Demeulemeester J, Zhang L, Berisha F, Tarabichi M, Young MD, Miranda E, Tarpey PS, Tirabosco R, Amary F, Grigoriadis AE, Stratton MR, Van Loo P, Antonescu CR, Campbell PJ, Flanagan AM, Behjati S. Recurrent rearrangements of FOS and FOSB define osteoblastoma. Nat Commun. 2018;9(1):2150. https://doi.org/10.1038/s41467-018-04530-z. PubMed PMID: 29858576; PubMed Central PMCID: PMC5984627.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  57. Barretina J, Taylor BS, Banerji S, Ramos AH, Lagos-Quintana M, Decarolis PL, Shah K, Socci ND, Weir BA, Ho A, Chiang DY, Reva B, Mermel CH, Getz G, Antipin Y, Beroukhim R, Major JE, Hatton C, Nicoletti R, Hanna M, Sharpe T, Fennell TJ, Cibulskis K, Onofrio RC, Saito T, Shukla N, Lau C, Nelander S, Silver SJ, Sougnez C, Viale A, Winckler W, Maki RG, Garraway LA, Lash A, Greulich H, Root DE, Sellers WR, Schwartz GK, Antonescu CR, Lander ES, Varmus HE, Ladanyi M, Sander C, Meyerson M, Singer S. Subtype-specific genomic alterations define new targets for soft-tissue sarcoma therapy. Nat Genet. 2010;42(8):715–21. https://doi.org/10.1038/ng.619. Epub 2010 Jul 4. PubMed PMID: 20601955; PubMed Central PMCID: PMC2911503.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Ragazzini P, Gamberi G, Pazzaglia L, Serra M, Magagnoli G, Ponticelli F, Ferrari C, Ghinelli C, Alberghini M, Bertoni F, Picci P, Benassi MS. Amplification of CDK4, MDM2, SAS and GLI genes in leiomyosarcoma, alveolar and embryonal rhabdomyosarcoma. Histol Histopathol. 2004;19(2):401–11. https://doi.org/10.14670/HH-19.401. Erratum in: Histol Histopathol. 2004 Jul;19(3):1013. PubMed PMID: 15024701.

    Article  CAS  PubMed  Google Scholar 

  59. Anderson J, Gordon A, Pritchard-Jones K, Shipley J. Genes, chromosomes, and rhabdomyosarcoma. Genes Chromosomes Cancer. 1999;26(4):275–85. Review. PubMed PMID: 10534762.

    Article  CAS  Google Scholar 

  60. Wunder JS, Eppert K, Burrow SR, Gokgoz N, Bell RS, Andrulis IL. Co-amplification and overexpression of CDK4, SAS and MDM2 occurs frequently in human parosteal osteosarcomas. Oncogene. 1999;18(3):783–8. Erratum in: Oncogene 2000 Mar 23;19(13):1734. Gogkoz N [corrected to Gokgoz N]. PubMed PMID: 9989829.

    Article  CAS  Google Scholar 

  61. Ladanyi M, Lewis R, Jhanwar SC, Gerald W, Huvos AG, Healey JH. MDM2 and CDK4 gene amplification in Ewing’s sarcoma. J Pathol. 1995;175(2):211–7. PubMed PMID: 7738717.

    Article  CAS  Google Scholar 

  62. Suster DI, Deshpande V, Chebib I, Taylor MS, Mullen J, Bredella MA, Nielsen GP. Spindle cell liposarcoma with a TRIO-TERT fusion transcript. Virchows Arch. 2019. https://doi.org/10.1007/s00428-019-02545-5. [Epub ahead of print] PubMed PMID: 30793229.

    Article  CAS  Google Scholar 

  63. Bean GR, Joseph NM, Folpe AL, Horvai AE, Umetsu SE. Recurrent GNA14 mutations in anastomosing haemangiomas. Histopathology. 2018;73(2):354–7. https://doi.org/10.1111/his.13519. Epub 2018 May 21. PubMed PMID: 29574926.

    Article  PubMed  Google Scholar 

  64. Bean GR, Joseph NM, Gill RM, Folpe AL, Horvai AE, Umetsu SE. Recurrent GNAQ mutations in anastomosing hemangiomas. Mod Pathol. 2017;30(5):722–7. https://doi.org/10.1038/modpathol.2016.234. Epub 2017 Jan 13. PubMed PMID: 28084343.

    Article  CAS  PubMed  Google Scholar 

  65. Huang SC, Zhang L, Sung YS, Chen CL, Krausz T, Dickson BC, Kao YC, Agaram NP, Fletcher CD, Antonescu CR. Frequent FOS gene rearrangements in epithelioid hemangioma: a molecular study of 58 cases with morphologic reappraisal. Am J Surg Pathol. 2015;39(10):1313–21. https://doi.org/10.1097/PAS.0000000000000469. PubMed PMID: 26135557; PubMed Central PMCID: PMC4567921.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Antonescu CR, Chen HW, Zhang L, Sung YS, Panicek D, Agaram NP, Dickson BC, Krausz T, Fletcher CD. ZFP36-FOSB fusion defines a subset of epithelioid hemangioma with atypical features. Genes Chromosomes Cancer. 2014;53(11):951–9. https://doi.org/10.1002/gcc.22206. Epub 2014 Jul 18. PubMed PMID: 25043949; PubMed Central PMCID: PMC4229947.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  67. Joseph NM, Brunt EM, Marginean C, Nalbantoglu I, Snover DC, Thung SN, Yeh MM, Umetsu SE, Ferrell LD, Gill RM. Frequent GNAQ and GNA14 mutations in hepatic small vessel neoplasm. Am J Surg Pathol. 2018;42(9):1201–7. https://doi.org/10.1097/PAS.0000000000001110. PubMed PMID: 29975248.

    Article  PubMed  Google Scholar 

  68. Lim YH, Bacchiocchi A, Qiu J, Straub R, Bruckner A, Bercovitch L, Narayan D, Yale Center for Mendelian Genomics, McNiff J, Ko C, Robinson-Bostom L, Antaya R, Halaban R, Choate KA. GNA14 somatic mutation causes congenital and sporadic vascular tumors by MAPK activation. Am J Hum Genet. 2016;99(2):443–50. https://doi.org/10.1016/j.ajhg.2016.06.010. Epub 2016 Jul 28. PubMed PMID: 27476652; PubMed Central PMCID: PMC4974082.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Desmeules P, Joubert P, Zhang L, Al-Ahmadie HA, Fletcher CD, Vakiani E, Delair DF, Rekhtman N, Ladanyi M, Travis WD, Antonescu CR. A subset of malignant mesotheliomas in young adults are associated with recurrent EWSR1/FUS-ATF1 fusions. Am J Surg Pathol. 2017;41(7):980–8. https://doi.org/10.1097/PAS.0000000000000864. PubMed PMID: 28505004; PubMed Central PMCID: PMC5468482.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Prieto-Granada CN, Ganim RB, Zhang L, Antonescu C, Mueller J. Primary pulmonary myxoid sarcoma: a newly described entity-report of a case and review of the literature. Int J Surg Pathol. 2017;25(6):518–25. https://doi.org/10.1177/1066896917706413. Epub 2017 Apr 28. Review. PubMed PMID: 28449608.

    Article  PubMed  Google Scholar 

  71. Agaram NP, Zhang L, Sung YS, Cavalcanti MS, Torrence D, Wexler L, Francis G, Sommerville S, Swanson D, Dickson BC, Suurmeijer AJH, Williamson R, Antonescu CR. Expanding the spectrum of intraosseous rhabdomyosarcoma: correlation between 2 distinct gene fusions and phenotype. Am J Surg Pathol. 2019. https://doi.org/10.1097/PAS.0000000000001227. [Epub ahead of print] PubMed PMID: 30720533.

    Article  Google Scholar 

  72. Yancoskie AE, Sreekantaiah C, Jacob J, Rosenberg A, Edelman M, Antonescu CR, Fantasia JE. EWSR1 and ATF1 rearrangements in clear cell odontogenic carcinoma: presentation of a case. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(4):e115–8. https://doi.org/10.1016/j.oooo.2014.02.004. Epub 2014 Feb 14. PubMed PMID: 24721473.

    Article  PubMed  Google Scholar 

  73. Dickson BC, Childs TJ, Colgan TJ, Sung YS, Swanson D, Zhang L, Antonescu CR. Uterine tumor resembling ovarian sex cord tumor: a distinct entity characterized by recurrent NCOA2/3 gene fusions. Am J Surg Pathol. 2019;43(2):178–86. https://doi.org/10.1097/PAS.0000000000001153. PubMed PMID: 30273195.

    Article  PubMed  Google Scholar 

  74. Kao YC, Sung YS, Zhang L, Chen CL, Vaiyapuri S, Rosenblum MK, Antonescu CR. EWSR1 fusions with CREB family transcription factors define a novel myxoid mesenchymal tumor with predilection for intracranial location. Am J Surg Pathol. 2017;41(4):482–90. https://doi.org/10.1097/PAS.0000000000000788. PubMed PMID: 280e09602; PubMed Central PMCID: PMC5350023.

    Article  Google Scholar 

  75. Spans L, Fletcher CD, Antonescu CR, Rouquette A, Coindre JM, Sciot R, Debiec-Rychter M. Recurrent MALAT1-GLI1 oncogenic fusion and GLI1 up-regulation define a subset of plexiform fibromyxoma. J Pathol. 2016;239(3):335–43. https://doi.org/10.1002/path.4730. Epub 2016 May 20. PubMed PMID: 27101025; PubMed Central PMCID: PMC5586099.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  76. Antonescu CR, Agaram NP, Sung YS, Zhang L, Swanson D, Dickson BC. A distinct malignant epithelioid neoplasm with GLI1 gene rearrangements, frequent S100 protein expression, and metastatic potential: expanding the spectrum of pathologic entities with ACTB/MALAT1/PTCH1-GLI1 fusions. Am J Surg Pathol. 2018;42(4):553–60. https://doi.org/10.1097/PAS.0000000000001010. PubMed PMID: 29309307; PubMed Central PMCID: PMC5844813.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Cocco E, Scaltriti M, Drilon A. NTRK fusion-positive cancers and TRK inhibitor therapy. Nat Rev Clin Oncol. 2018;15(12):731–47. https://doi.org/10.1038/s41571-018-0113-0. Review. PubMed PMID: 30333516.

    Article  CAS  PubMed  Google Scholar 

  78. Mertens F, Antonescu CR, Mitelman F. Gene fusions in soft tissue tumors: recurrent and overlap** pathogenetic themes. Genes Chromosomes Cancer. 2016;55(4):291–310. https://doi.org/10.1002/gcc.22335. Epub 2015 Dec 18. Review. PubMed PMID: 26684580; PubMed Central PMCID: PMC5012284.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Konstantinos Linos .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Linos, K. (2020). Sarcomas. In: Tafe, L., Arcila, M. (eds) Genomic Medicine. Springer, Cham. https://doi.org/10.1007/978-3-030-22922-1_11

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-22922-1_11

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-22921-4

  • Online ISBN: 978-3-030-22922-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation