Tissue microarray validation of epidermal growth factor receptor and SALL2 in synovial sarcoma with comparison to tumors of similar histology. Author Torsten Nielsen, Forrest Hsu, John O'Connell, Blake Gilks, Poul Sorensen, Sabine Linn, Robert West, Chih Liu, David Botstein, Patrick Brown, Matt van de Rijn Publication Year 2003 Type Journal Article Abstract Histological diagnosis of synovial sarcoma can be difficult. Genome-wide expression profiling has identified a number of genes expressed at higher levels in synovial sarcoma than in other soft tissue tumors, representing excellent candidates for diagnostic immunohistochemical markers. A tissue microarray comprising 77 sarcomas, including 46 synovial sarcomas, was constructed to validate identified markers and investigate their expression in tumors in the differential diagnosis of synovial sarcoma. Immunostaining was performed for two such markers, epidermal growth factor receptor and SAL (drosophila)-like 2 (SALL2), and for fifteen established markers used in the differential diagnosis of sarcomas. As predicted by expression profiling, epidermal growth factor receptor (a potential therapeutic target) and SALL2 stained most cases of synovial sarcoma; staining was significantly less common among other tested sarcomas. Hierarchical clustering analysis applied to immunostaining results for all 18 antibodies showed that synovial sarcomas, leiomyosarcomas, hemangiopericytomas, and solitary fibrous tumors cluster distinctly, and assigned one case with indeterminate histology as a Ewing sarcoma. Digital images from over 2500 immunostained cores analyzed in this study were captured and are made accessible through the accompanying website: http://microarray-pubs.stanford.edu/tma_portal/synsarc. Keywords Humans, Cluster Analysis, Immunohistochemistry, Transcription Factors, Oligonucleotide Array Sequence Analysis, Receptor, Epidermal Growth Factor, Biological Markers, Diagnosis, Differential, Sarcoma, Synovial, Soft Tissue Neoplasms, Staining and Labeling Journal Am J Pathol Volume 163 Issue 4 Pages 1449-56 Date Published 10/2003 Alternate Journal Am. J. Pathol. Google ScholarBibTeXEndNote X3 XML