Diagnostic gold standard for soft tissue tumours: morphology or molecular genetics?

Abstract:

:The recognition of recurrent genetic alterations in specific tumour types has provided the basis for the reclassification of certain soft tissue neoplasms, and molecular analysis of patient material has the potential to provide both diagnostic and prognostic information. In this review, we evaluate the role of molecular genetic testing as the prospective 'gold standard' for sarcoma diagnosis. Molecular genetic testing, as with every new method, promises to improve accuracy and to be more sensitive and less subjective, claims that have been made previously by histochemistry, electron microscopy and immunohistochemistry. Technical limitations in molecular assays, as well as more general specificity issues, decrease the clinical usefulness of molecular pathological testing significantly and suggest that, at present, molecular evaluation is best considered an ancillary technique that neither supersedes other ancillary techniques nor eclipses traditional pathological examination.

journal_name

Histopathology

journal_title

Histopathology

authors

Pfeifer JD,Hill DA,O'Sullivan MJ,Dehner LP

doi

10.1046/j.1365-2559.2000.01107.x

keywords:

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

485-500

issue

6

eissn

0309-0167

issn

1365-2559

pii

his1107

journal_volume

37

pub_type

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