Desmoplastic Small Round Cell Tumor: RT-PCR Analysis and Immunohistochemical Detection of the Wilm's Tumor Gene WT1

https://doi.org/10.1016/S0344-0338(98)80128-3Get rights and content

Summary

Desmoplastic small round cell tumor is an aggressive neoplasm first described in 1991. Recently, a reciprocal translocation t( 11 ;22)(p 13 ;q 12) has been characterized by conventional cytogenetic studies and molecular analysis. This translocation involves the Ewing’s sarco- ma gene on chromosome 22 and the Wilms’ tumor gene WT1 on chromosome 11. The chimeric transcript corre- sponding to the fusion gene could be detected by the re- verse transcriptase-polymerase chain reaction (RT- PCR). Using an anti-WTl antibody, the WT1 part of the putative chimeric protein could be recognized by im- munohistochemistry. We describe two well-character- ized cases of intraabdominal desmoplastic small round cell tumor in two male patients aged 14 and 28 with both RT-PCR analysis and immunostaining for WT1. In this report, we insist on the necessity to increase the RT- PCR analysis in DSRCT in order to obtain a precise dif- ferential diagnosis. In addition, WT1 immunostaining may serve as a useful diagnostic marker for DSRCT.

References (31)

  • SG Brodie et al.

    EWS and WT-1 gene fusion in desmoplastic small round cell tumor of the abdomen

    Hum Pathol

    (1995)
  • NG Ordonez et al.

    Intra-abdominal desmoplastic small cell tumor

    A light microscopic, immunocytochemical, ultrastructural, and flow cytometric study. Hum Pathol

    (1993)
  • E Rodriguez et al.

    A recurring translocation t( 11 ;22)(p 13;q 11.2) characterizes intraabdominal desmoplastic small round cell tumors

    Cancer Genet Cytogenet

    (1993)
  • L Antunes et al.

    Masse mésocolique chez un adolescent

    Ann Pathol

    (1996)
  • LH Argatoff et al.

    Detection of the EWS/WT1 Gene fusion by Reverse Transcriptase-Polymerase Chain Reaction in the diagnosis of intra-abdominal desmoplastic small round cell tumor

    Am J Surg Pathol

    (1996)
  • FG Barr et al.

    Molecular assays for chromosomal translocations in the diagnosis of pediatric soft tissue sarcomas

    JAMA

    (1995)
  • LE Benjamin et al.

    Fusion of the EWS1 and WT1 genes as a result of the t( 11 ;22)(p 13 ;q 12) Translocation in desmoplastic small round cell tumors

    Med Ped Oncol

    (1996)
  • Y Bian et al.

    Effusion cytology of desmoplastic small round cell tumor of the pleura

    A case report. Acta Cytol

    (1993)
  • WA Bickmore et al.

    Modulation of DNA binding specificity by alternative splicing of the Wilms tumor wtl gene transcript

    Science

    (1992)
  • JA Biegel et al.

    Translocation (Il;22)(pl3;ql2): primary change in intra-abdominal desmoplastic small round cell tumor

    Genes Chrom Cancer

    (1993)
  • E Bouffet et al.

    Tumeurs desmoplastiques à différenciation multiple

    Une nouvelle entité. Six observations. Presse Méd

    (1993)
  • AK Charles et al.

    Immunohisto-chemical detection of the Wilm’s tumour gene WT1 in desmoplastic small round cell tumour

    Histopathology

    (1997)
  • JK Choi et al.

    Desmoplastic small round cell tumor presenting in pleural fluid and accompanied by desmin-positive mesothelial cells

    Acta cytol

    (1995)
  • OW Cummings et al.

    Desmoplastic small round cell tumors of the paratesticular region

    A report of six cases. Am J Surg Pathol

    (1997)
  • E De Alava et al.

    Detection of chimeric transcripts in desmoplastic small round cell tumor and related developmental tumors by reverse transcriptase polymerase chain reaction

    A specific diagnostic assay. Am J Pathol

    (1995)
  • Cited by (25)

    • Immunohistology of Pediatric Neoplasms

      2011, Diagnostic Immunohistochemistry
    • Immunohistology of Pediatric Neoplasms: Neuroblastoma and Neuroblastic Tumors

      2010, Diagnostic Immunohistochemistry: Theranostic and Genomic Applications, Expert Consult
    • Immunohistology of Pediatric Neoplasms

      2006, Diagnostic Immunohistochemistry, Second Edition
    View all citing articles on Scopus
    View full text