Epithelioid sarcoma is a rare malignant soft tissue
tumor of unknown histogenesis, characterized by the epithelioid morphology of
tumor cells and co-expression of epithelial and mesenchymal lineage
proteins. A common epithelial and mesenchymal immunophenotype is also found in another soft tissue
tumor, the biphasic subtype of
synovial sarcoma. Furthermore, the presence of a breakpoint at 18q11 in
epithelioid sarcoma, similar to that found in
synovial sarcoma, has been reported. These facts would support the hypothesis that both
tumors may share a common histogenetic background. However, expression of the SYT-SSX fusion genes has been investigated in
epithelioid sarcoma with negative results. We report, to our knowledge, the first
epithelioid sarcoma in which the presence of
SYT-SSX1 fusion gene has been detected by means of conventional RT-PCR analysis and sequencing, real-time RT-PCR and FISH. The
SYT-SSX1 gene fusion was identified in a small proportion of tumoral cells. This finding supports a likely common histogenetic background for both
epithelioid sarcoma and
synovial sarcoma.