title: SYT-SSX fusion genes and prognosis in synovial sarcoma.
abstract: A case series of 64 synovial sarcomas was characterized for the SYT-SSX fusion transcripts and statistically analysed in order to correlate molecular data with prognosis and morphology. SYT-SSX1 fusion transcript appeared to be an independent, though not reaching statistical significance (P = 0.183), prognostic factor clearly associated with a reduced metastasis-free survival. Regarding the association between transcript type and histologic subtype we found, a borderline P value (P = 0.067) between the SYT-SSX1 transcript and the biphasic subtype which, subsequently expanding the analysis to 70 cases, turned out to be significant. However, we could not confirm the prediction value of the biphasic subtype for the presence of the SYT-SSX1 transcript since in our hands 6 out 33 (18%) biphasic tumours carried the SYT-SSX2 transcript.
authors.affiliation: Division of Anatomic Pathology and Cytology, Istituto Nazionale per lo Studio e la Cura dei Tumori, Via Venezian 1, 20133 Milano, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Mezzelani
authors.forename: L
authors.initials: L
authors.lastname: Mariani
authors.forename: E
authors.initials: E
authors.lastname: Tamborini
authors.forename: V
authors.initials: V
authors.lastname: Agus
authors.forename: C
authors.initials: C
authors.lastname: Riva
authors.forename: S
authors.initials: S
authors.lastname: Lo Vullo
authors.forename: A
authors.initials: A
authors.lastname: Fabbri
authors.forename: M
authors.initials: M
authors.lastname: Stumbo
authors.forename: A
authors.initials: A
authors.lastname: Azzarelli
authors.forename: P G
authors.initials: PG
authors.lastname: Casali
authors.forename: A
authors.initials: A
authors.lastname: Gronchi
authors.forename: G
authors.initials: G
authors.lastname: Sozzi
authors.forename: M A
authors.initials: MA
authors.lastname: Pierotti
authors.forename: S
authors.initials: S
authors.lastname: Pilotti
mesh_terms: D000293:Adolescent; D000328:Adult; D014408:Biomarkers, Tumor / Q000032:analysis* / Q000235:genetics; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D015514:Oncogene Proteins, Fusion / Q000032:analysis* / Q000235:genetics; D011379:Prognosis; D016016:Proportional Hazards Models; D012334:RNA, Neoplasm / Q000032:analysis; D013584:Sarcoma, Synovial / Q000175:diagnosis* / Q000235:genetics / Q000556:secondary; D016019:Survival Analysis
chemical_list: D014408:Biomarkers, Tumor; D015514:Oncogene Proteins, Fusion; D012334:RNA, Neoplasm; C116512:SYT-SSX fusion protein