Galectin-1 (GAL-1) expression is a useful tool to differentiate between small cell osteosarcoma and Ewing sarcoma

Virchows Arch. 2013 Jun;462(6):665-71. doi: 10.1007/s00428-013-1423-3. Epub 2013 May 17.

Abstract

Galectin-1 (GAL-1) is frequently expressed in osteosarcomas. Although a valuable diagnostic marker to differentiate between chondroblastic osteosarcomas and conventional chondrosarcomas, it has not been tested in the Ewing sarcoma family of tumors (ESFTs). We studied by immunohistochemistry GAL-1 expression in 43 osteosarcomas, 23 chondrosarcomas, and 217 genetically confirmed ESFTs using a tissue microarray. GAL-1 was expressed in 78 % of osteosarcomas, 33 % of chondrosarcomas, and 8 % of ESFTs. Osteoblastic and small cell osteosarcoma subtypes expressed GAL-1 in a high percentage of cells when compared with the other histological subtypes, whereas two chondroblastic osteosarcomas were negative. GAL-1 was mainly expressed in high-grade chondrosarcomas (grade III). ESFTs were rarely positive (8 %), and this was not related to the histological subtype nor to the clinical outcome. Although GAL-1 expression distinguishes chondroblastic osteosarcomas from conventional chondrosarcomas and is usually negative in conventional chondrosarcomas, the final diagnosis needs to incorporate histopathology since some chondroblastic osteosarcomas fail to express GAL-1, while high-grade chondrosarcomas are GAL-1 positive. Since GAL-1 is frequently expressed in osteogenic tumors, including small cell osteosarcoma, but rarely positive in ESFTs, its expression seems a valuable tool for distinguishing between these lesions. GAL-1 immunoexpression is not indicative of prognosis in ESFT.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biomarkers, Tumor / metabolism*
  • Bone Neoplasms / diagnosis*
  • Bone Neoplasms / metabolism
  • Cell Count
  • Chondroblastoma / diagnosis
  • Chondroblastoma / metabolism
  • Chondrosarcoma / diagnosis
  • Chondrosarcoma / metabolism
  • Diagnosis, Differential
  • Galectin 1 / metabolism*
  • Humans
  • Immunohistochemistry
  • Prognosis
  • Retrospective Studies
  • Sarcoma, Ewing / diagnosis*
  • Sarcoma, Ewing / metabolism
  • Sarcoma, Small Cell / diagnosis*
  • Sarcoma, Small Cell / metabolism

Substances

  • Biomarkers, Tumor
  • Galectin 1
  • LGALS1 protein, human