NAB2–STAT6 fusion gene analysis in two cases of meningeal solitary fibrous tumor/hemangiopericytoma with late distant metastases

We present two cases of meningeal solitary fibrous tumor (SFT)/hemangiopericytoma (HPC) with immunohistochemistry of STAT6 and analysis of NAB2–STAT6 fusion genes. Case 1 was a 37-year-old male with a left middle fossa tumor; case 2 was a 68-year-old female with a cerebellar tumor. They showed late...

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Veröffentlicht in:Brain tumor pathology 2015-10, Vol.32 (4), p.268-274
Hauptverfasser: Nakada, Satoko, Minato, Hiroshi, Takegami, Tsutomu, Kurose, Nozomu, Ikeda, Hiroko, Kobayashi, Masako, Sasagawa, Yasuo, Akai, Takuya, Kato, Takashi, Yamamoto, Norio, Nojima, Takayuki
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container_title Brain tumor pathology
container_volume 32
creator Nakada, Satoko
Minato, Hiroshi
Takegami, Tsutomu
Kurose, Nozomu
Ikeda, Hiroko
Kobayashi, Masako
Sasagawa, Yasuo
Akai, Takuya
Kato, Takashi
Yamamoto, Norio
Nojima, Takayuki
description We present two cases of meningeal solitary fibrous tumor (SFT)/hemangiopericytoma (HPC) with immunohistochemistry of STAT6 and analysis of NAB2–STAT6 fusion genes. Case 1 was a 37-year-old male with a left middle fossa tumor; case 2 was a 68-year-old female with a cerebellar tumor. They showed late metastasis to the lung or bone 8 or 13 years, respectively, after the first surgery. Histology of both primary and metastatic tumors showed a cellular hemangiopericytomatous pattern with nuclear atypia. The primary tumors showed nuclear staining of STAT6, but both metastatic tumors showed nuclear and cytoplasmic STAT6. DNA sequencing revealed two kinds of NAB2–STAT6 fusion genes. One consisted of exon 6 of NAB2, intron 6 of NAB2, and the middle of exon 17 of STAT6 (observed in the primary and metastatic tumors of case 1); the other consisted of exon 6 of NAB2 and the beginning of exon 17 of STAT6 (observed in the metastatic tumor of case 2). The primary tumor of case 2 had both fusion genes. To the best of our knowledge, we are the first to report NAB2–STAT6 fusion gene analysis in primary and metastatic meningeal SFT/HPCs and a case showed different fusion gene status in the metastatic tumor.
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Case 1 was a 37-year-old male with a left middle fossa tumor; case 2 was a 68-year-old female with a cerebellar tumor. They showed late metastasis to the lung or bone 8 or 13 years, respectively, after the first surgery. Histology of both primary and metastatic tumors showed a cellular hemangiopericytomatous pattern with nuclear atypia. The primary tumors showed nuclear staining of STAT6, but both metastatic tumors showed nuclear and cytoplasmic STAT6. DNA sequencing revealed two kinds of NAB2–STAT6 fusion genes. One consisted of exon 6 of NAB2, intron 6 of NAB2, and the middle of exon 17 of STAT6 (observed in the primary and metastatic tumors of case 1); the other consisted of exon 6 of NAB2 and the beginning of exon 17 of STAT6 (observed in the metastatic tumor of case 2). The primary tumor of case 2 had both fusion genes. To the best of our knowledge, we are the first to report NAB2–STAT6 fusion gene analysis in primary and metastatic meningeal SFT/HPCs and a case showed different fusion gene status in the metastatic tumor.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>25893823</pmid><doi>10.1007/s10014-015-0220-x</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Autopsies
Bone Neoplasms - genetics
Bone Neoplasms - secondary
Cancer Research
Case Report
Cerebellar Neoplasms - genetics
Cerebellar Neoplasms - pathology
Cloning
Cranial Fossa, Middle
Exons
Female
Gene Fusion
Genes
Hemangiopericytoma - genetics
Hemangiopericytoma - secondary
Histology
Humans
Immunohistochemistry
Keratin
Lung Neoplasms - genetics
Lung Neoplasms - secondary
Male
Medicine
Medicine & Public Health
Metastasis
Neurology
Neurosurgery
Oncology
Pathology
Radiation
Repressor Proteins - analysis
Repressor Proteins - genetics
Skull Base Neoplasms - genetics
Skull Base Neoplasms - pathology
STAT6 Transcription Factor - analysis
STAT6 Transcription Factor - genetics
Tumors
title NAB2–STAT6 fusion gene analysis in two cases of meningeal solitary fibrous tumor/hemangiopericytoma with late distant metastases
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