Molecular pathological analysis of sarcomas using paraffin-embedded tissue: current limitations and future possibilities

Histopathology. 2014 Jan;64(1):163-70. doi: 10.1111/his.12290. Epub 2013 Nov 25.

Abstract

Sarcomas of soft tissue and bone are rare neoplasms that can be separated into a large number of different diagnostic entities. Over the years, a number of diagnostic markers have been developed that aid pathologists in reaching the appropriate diagnoses. Many of these markers are sarcoma-specific proteins that can be detected by immunohistochemistry in formalin-fixed, paraffin-embedded (FFPE) sections. In addition, a wide range of molecular studies have been developed that can detect gene mutations, gene amplifications or chromosomal translocations in FFPE material. Until recently, most sequencing-based approaches relied on the availability of fresh frozen tissue. However, with the advent of next-generation sequencing technologies, FFPE material is increasingly being used as a tool to identify novel immunohistochemistry markers, gene mutations, and chromosomal translocations, and to develop diagnostic tests.

Keywords: molecular testing; next-generation sequencing; sarcoma.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / analysis*
  • Gene Expression Profiling / methods
  • Humans
  • Paraffin Embedding*
  • Sarcoma / diagnosis*
  • Sarcoma / genetics*

Substances

  • Biomarkers, Tumor