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A flow cytometric DNA analysis of giant cell tumors of bone including two cases with malignant transformation
Author(s) -
Fukunaga Masaharu,
Nikaido Takashi,
Shimoda Tadakazu,
Ushigome Shinichiro,
Nakamori Kazuhifo
Publication year - 1992
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19921001)70:7<1886::aid-cncr2820700714>3.0.co;2-j
Subject(s) - medicine , lung cancer , pathology , ploidy , autopsy , malignant transformation , giant cell , lesion , lung , cancer , biology , biochemistry , gene
Background and Methods . Flow cytometric DNA analysis was performed on 30 cases of giant cell tumor (GCT) of bone with the use of paraffin‐embedded sections. Results . According to the criteria of Huvos, they were classified histologically into three groups: Grade 1, 26 cases; Grade 2, 4 cases; and Grade 3, no cases. Among the Grade 1 cases, 21 were diploid and 5 were aneuploid. Of the four Grade 2 cases, three were diploid and one was aneuploid. Nine patients had local relapses. Among four patients with complications by lung metastases, two have remained well at 18 and 157 months with the metastases. The other two patients, who had Grade 1 DNA diploid GCT of the 11th thoracic spine, had malignant transformation (osteosarcoma) resulting from radiation therapy. In one patient, the primary lesion exposed to radiation and the lung lesions were diploid, but in the other patient both were found to be aneuploid at autopsy. No significant differences of S‐phase fraction were observed between two different grade groups. There was no significant correlation among DNA ploidy, histologic grade, and the presence or absence of lung metastases. Conclusions . Based on this study, the DNA analysis has a limitation in predicting the biologic behavior of GCT. Cancer 1992; 70:1886–1894.