Baumhoer Daniel, Höller Sylvia
Knochentumor-Referenzzentrum, Institut für Pathologie, Universitätsspital Basel, Universität Basel, Schönbeinstrasse 40, Basel, 4031, Schweiz.
Pathologe. 2020 Mar;41(2):106-115. doi: 10.1007/s00292-019-00746-y.
The integrative evaluation of histology and corresponding imaging is essential for the classification of bone tumors. Until a few years ago, there were hardly any molecular markers that could be used for diagnostic purposes. However, exome- and genome-wide sequencing analyses have since uncovered a number of tumor-specific aberrations that can be very helpful in ambiguous cases. In addition to characteristic gene mutations (e.g. H3F3A and H3F3B in giant-cell tumors and chondroblastomas), the detection of fusion transcripts (e.g. structural rearrangements in the AP‑1 transcription factors FOS and FOSB in osteoid osteomas and osteoblastomas) plays an increasing role. The article gives an overview of the current state of knowledge of the most important alterations in bone tumors.
组织学与相应影像学的综合评估对于骨肿瘤的分类至关重要。直到几年前,几乎没有任何可用于诊断目的的分子标志物。然而,自那时起,外显子组和全基因组测序分析已经发现了许多肿瘤特异性异常,这在诊断不明确的病例中非常有帮助。除了特征性基因突变(如巨细胞瘤和软骨母细胞瘤中的H3F3A和H3F3B)外,融合转录本的检测(如骨样骨瘤和成骨细胞瘤中AP-1转录因子FOS和FOSB的结构重排)也发挥着越来越重要的作用。本文概述了骨肿瘤最重要改变的当前知识状态。