Diagnostic value of H3F3A mutation and clinicopathological features of giant cell tumours in non-long bones.

Diagnostic value of H3F3A mutation and clinicopathological features of giant cell tumours in non-long bones.
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DOI:
10.1016/j.jbo.2022.100467
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发表时间:
2023-03
影响因子:
3.4
通讯作者:
Liu, Zhiyan
Liu, Zhiyan
中科院分区:
医学2区
文献类型:
--
作者:
Luo, Yanli;Tang, Juan;Huang, Jin;Hu, Dingjun;Bai, Yueqing;Chen, Jie;Sun, Keyang;Zhang, Huizhen;Liu, Zhiyan

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H3F3A mutation is a useful diagnostic marker for GCTB in non-long bones. GCTB of non-long bones have a female preference. G34L/V/R mutations are more frequent in younger patients. A histone H3F3A (H3.3) mutation involving a substitution in H3.3 G34 recently has been reported in GCTB within the frequency range (from 69 % to 96 %) and is a helpful diagnostic indicator of GCTB. However, the relationship between H3F3A mutations and the clinicopathological feature of GCTB involving non-long bones (irregular bones and small bones) is unclear. H3F3A mutations were observed in a cohort of specimens (230 samples of GCTB) using immunohistochemistry and Sanger sequencing. The relationship between H3F3A mutations and the clinicopathological characteristics of patients with GCTB occurring in the non-long bones of the appendicular skeleton was investigated. No significant difference between H3F3A mutations in GCTB arising in non-long bones and the classic sites was found (P = 0.483). GCTB in non-long bones occurred more common in female (31/49, 63.3 %) than in male patients (P = 0.016). GCTB with H3.3 G34L/V/R mutation occurred more often in younger patients compared with those with H3.3 G34W mutation (P = 0.009). The majority of GCTB with soft tissue extension developed in irregular bones but not in small bones (P = 0.061). The H3.3 G34L/V/R mutations rate (7/45) in the non-long bones was significantly higher than that in long bones. The recurrence rate of the GCTB in long bones and non-long bones was 23.3 % (45/193) including 43 cases with local recurrene and 2 cases with lung metastasis. No recurrence occurred in cases with G34V/L/R mutations. H3F3A was an effective diagnostic marker for GCTB of the non-long bones. The younger patients with GCTB of the non-long bones harboured H3.3 G34L/V/R mutations and may had a female preference and rarely recurrent.
DOI: 10.7554/elife.65369
发表时间: 2021-02-01
期刊: eLife
影响因子: 7.7
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Lowe BR;Yadav RK;Henry RA;Schreiner P;Matsuda A;Fernandez AG;Finkelstein D;Campbell M;Kallappagoudar S;Jablonowski CM;Andrews AJ;Hiraoka Y;Partridge JF
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发表时间: 2017-07-01
期刊: HISTOPATHOLOGY
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发表时间: 2013-12
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