The diagnosis of
fibrosarcoma has become relatively rare since the recognition and definition of certain adult
spindle-cell sarcomas, such as monophasic
synovial sarcoma, malignant peripheral nerve sheath tumour (
MPNST), and
malignant fibrous histiocytoma (MFH). Although most adult
fibrosarcomas occur within intra- or inter-muscular fibrous tissues, some originate from superficial soft tissues (superficially located adult
fibrosarcomas) (SAFs). Recently, the COL1A1-PDGFB chimeric gene resulting from a reciprocal translocation, t(17;22), and/or a supernumerary
ring chromosome, r(17;22), has been identified, not only in conventional
dermatofibrosarcoma protuberans (DFSP) but also in areas of DFSP with progression to
fibrosarcoma (so-called fibrosarcomatous transformation) (
FS-DFSP). Since many SAFs are clinically and histologically similar to DFSP or
FS-DFSP, this study postulated that the two groups may be interrelated histogenetically. To test this hypothesis, a reverse transcription-polymerase chain reaction (RT-PCR) assay was conducted to determine whether COL1A1-PDGFB fusion transcripts could be detected in six cases of
SAF, using archival
formalin-fixed,
paraffin-embedded tissues. COL1A1-PDGFB fusion transcripts were detected in four of six SAFs, whereas no such fusion transcripts could be amplified in five deep-seated
fibrosarcomas, eight congenital/infantile
fibrosarcomas or 28 other spindle-cell tumours and tumour-like lesions. These results show that at least some cases of
SAF are genetically similar to DFSP and
FS-DFSP, suggesting that some SAFs originate from DFSP or involve similar pathogenetic mechanisms.