HMGA gene rearrangement is a recurrent somatic alteration in polypoid endometriosis

作者: Fabiola Medeiros , Xiaoke Wang , Ana Rose C. Araujo , Michele R. Erickson-Johnson , Joema F. Lima

DOI: 10.1016/J.HUMPATH.2011.09.013

关键词: StromaHMGAEndometriosisPathologyGene rearrangementCancer researchPathogenesisFluorescence in situ hybridizationSomatic cellHMGA2Biology

摘要: The pathogenesis of endometriosis is unclear, and several genetic, endocrine, immune, environmental agents have been evaluated with no putative causative factors identified. Here, we show somatic genetic alterations involving HMGA1 (6p21) HMGA2 (12q15) in 3 cases polypoid endometriosis. lesions involved the small bowel mesentery perirectal soft tissue 1 case posterior vaginal fornix sigmoid colon serosa 2 other cases, respectively. All had a configuration cystically dilated irregular glands fibrotic stroma, containing thick-walled vessels. Conventional cytogenetic analysis showed 46,XX,t(5;12)(q13;q15) all metaphases. Fluorescence situ hybridization studies confirmed balanced rearrangement HMGA2. rearrangements were present additional cases. Rearrangements exclusively found stromal component but not glandular component. These findings suggest that HMGA likely contribute to However, are needed better define biologic role this alteration.

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