[Recent progress of molecular diagnosis in pediatric malignancies].
Recent progress of molecular and cytogenetic techniques has led to remarkable advances in molecular diagnosis of pediatric malignancies, including malignant bone and soft tissue sarcoma (MSTS). Fusion genes, such as EWS-FLI1 and PAX3-FKHR, were cloned at the chromosome breakpoints of t(11;22) and t(2;13) in Ewing's sarcoma and rhabdomyosarcoma, respectively. Minimal residual disease can be detected by reverse transcriptase-polymerase chain reaction using these translocations. These fusion genes contribute to differential diagnosis of pediatric small round cell tumor, which was difficult to diagnose morphologically. Some of these fusion genes, including SYT-SSX in synovial sarcoma and EWS-FLI1 in Ewing sarcoma, have been reported to be associated with prognosis. Recently, genome-wide searches using microarray and single nucleotide polymorphisms have been performed in pediatric malignancies. These advances have led to the increased importance of molecular diagnosis as well as morphological diagnosis. We review here the recent progress of molecular diagnosis in pediatric malignancies.
D002648:Child; D004268:DNA-Binding Proteins / Q000235:genetics; D003937:Diagnosis, Differential; D005354:Fibrosarcoma / Q000151:congenital / Q000175:diagnosis; D000071161:Forkhead Box Protein O1; D051858:Forkhead Transcription Factors; D011495:Histone-Lysine N-Methyltransferase; D006801:Humans; D007938:Leukemia / Q000151:congenital / Q000175:diagnosis* / Q000235:genetics; D008080:Liposarcoma / Q000175:diagnosis; D051788:Myeloid-Lymphoid Leukemia Protein; D009369:Neoplasms / Q000175:diagnosis* / Q000235:genetics*; D009447:Neuroblastoma / Q000175:diagnosis; D015514:Oncogene Proteins, Fusion / Q000235:genetics*; D000072041:PAX3 Transcription Factor; D051761:Paired Box Transcription Factors; D051789:Proto-Oncogene Protein c-fli-1; D011519:Proto-Oncogenes; D034802:RNA-Binding Protein EWS; D012208:Rhabdomyosarcoma / Q000175:diagnosis; D012509:Sarcoma / Q000175:diagnosis; D012512:Sarcoma, Ewing / Q000175:diagnosis; D014157:Transcription Factors / Q000235:genetics*; D014178:Translocation, Genetic
D004268:DNA-Binding Proteins; C106031:EWS-FLI fusion protein; C085126:FOXO1 protein, human; D000071161:Forkhead Box Protein O1; D051858:Forkhead Transcription Factors; C497422:KMT2A protein, human; D015514:Oncogene Proteins, Fusion; D000072041:PAX3 Transcription Factor; C489409:PAX3 protein, human; D051761:Paired Box Transcription Factors; D051789:Proto-Oncogene Protein c-fli-1; D034802:RNA-Binding Protein EWS; D014157:Transcription Factors; C068686:Pax3 protein, mouse; D051788:Myeloid-Lymphoid Leukemia Protein; D011495:Histone-Lysine N-Methyltransferase