Review Article

Contributions of Cytogenetics and Molecular Cytogenetics to the Diagnosis of Adipocytic Tumors

Table 1

Chromosomal aberrations and associated molecular events in adipocytic tumors.

Tumor typeChromosomal aberrationMolecular event

Benign
 Lipomat(3;12)(q27-28;q13–15)HMGA2-LPP
t(9;12)(p22;q13–15)HMGA2-NFIB
t(2;12)(q37;q13–15)HMGA2-CXCR7
t(5;12)(q32-33;q13–15)HMGA2-EBF1
t(12;13)(q13–15;q12)HMGA2-LHFP
6p21–23 rearrangementHMGA1 rearrangement
13q deletionNot known
 Chondroid lipomat(11;16)(q13;p13)C11of95-MKL2
 Spindle cell/pleomorphic lipoma13q and/or 16q deletions Not known
 Hibernoma11q13 rearrangementMEN1, PPP1A deletion
 Lipoblastoma8q11–13 rearrangementPLAG1 rearrangement

Intermediate (locally aggressive)
 Atypical lipomatous tumor/Ring/giant marker chromosomeMDM2, CDK4, CPM,
 well differentiated liposarcoma(12q13–15 amplification)HMGA2 amplification

Malignant
 Dedifferentiated liposarcomaRing/giant marker chromosome*MDM2, CDK4, CPM,
(12q13–15 amplification)HMGA2 amplification
 Myxoid/round cell liposarcomat(12;16)(q13;p11)FUS-DDIT3
t(12;22)(q13;q12)EWSR1-DDIT3
 Pleomorphic liposarcomaComplex karyotypeNot known

Dedifferentiated liposarcoma may contain complex aberrations in addition to ring or giant marker chromosomes.