title: Detection of a variant SYT-SSX1 fusion in a case of predominantly epithelioid synovial sarcoma.
abstract: BACKGROUND
  The translocation t(X;18)(p11.2;q11.2) characterizes synovial sarcoma, fusing the SYT gene at 18q11.2 to either SSX1 or SSX2 at Xp11.2. The usual chimeric product fuses SYT codon 379 to SSX1 or SSX2 codon 111. To date only three variant fusions have been identified. A predominantly epithelioid synovial sarcoma that expressed a novel variant of the SYT-SSX1 fusion is described.
  
  
  RESULTS
  The current case was tested for the SYT-SSX fusion by reverse transcriptase polymerase chain reaction (PCR) followed by sequencing of the PCR product. Analysis revealed a 673 bp SYT-SSX1 chimeric product characterized by a novel junction of SYT codon 379 to SSX1 codon 83 with a 6 bp insertion at the fusion junction.
  
  
  CONCLUSIONS
  As the number of reported variations of the SYT-SSX chimeric fusion increases in synovial sarcoma, the mechanics of the translocation machinery and the functional significance of these chimeric fusions will be better understood.
authors.affiliation: Department of Pathology and Laboratory Medicine, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104-6082, USA.
authors.forename: M E
authors.initials: ME
authors.lastname: Sanders
authors.forename: M
authors.initials: M
authors.lastname: van de Rijn
authors.forename: F G
authors.initials: FG
authors.lastname: Barr
mesh_terms: D015746:Abdominal Pain / Q000150:complications / Q000209:etiology; D000293:Adolescent; D000595:Amino Acid Sequence; D001064:Appendicitis / Q000175:diagnosis; D001483:Base Sequence; D014408:Biomarkers, Tumor / Q000235:genetics*; D002887:Chromosomes, Human, Pair 18 / Q000235:genetics* / Q000648:ultrastructure; D003001:Cloning, Molecular; D018076:DNA, Complementary / Q000235:genetics; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008969:Molecular Sequence Data; D015514:Oncogene Proteins, Fusion / Q000235:genetics*; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000235:genetics* / Q000473:pathology; D012333:RNA, Messenger / Q000235:genetics; D012334:RNA, Neoplasm / Q000235:genetics; D020133:Reverse Transcriptase Polymerase Chain Reaction; D013584:Sarcoma, Synovial / Q000150:complications / Q000175:diagnosis / Q000235:genetics* / Q000473:pathology; D014178:Translocation, Genetic; D014960:X Chromosome / Q000235:genetics* / Q000648:ultrastructure
chemical_list: D014408:Biomarkers, Tumor; D018076:DNA, Complementary; D015514:Oncogene Proteins, Fusion; D012333:RNA, Messenger; D012334:RNA, Neoplasm; C116512:SYT-SSX fusion protein