Targeted RNA sequencing: A routine ancillary technique in the diagnosis of bone and soft tissue neoplasms

Genes Chromosomes Cancer. 2019 Feb;58(2):75-87. doi: 10.1002/gcc.22690.

Abstract

The past decade has witnessed remarkable progress in delineating the molecular pathogenesis of many mesenchymal neoplasms. This, in large part, is attributable to the application of next-generation sequencing. As these techniques decrease in cost, and increasingly support the use of routine clinical specimens-such as formalin-fixed paraffin-embedded tissue and cytology samples-they are beginning to be routinely implemented in diagnostic pathology laboratories. The breadth of testing possible by next-generation sequencing makes this a useful adjunct for pathologists, particularly with the emergence of targeted therapies. The intent of this article is to share our experience, over 2 years, as an early adopter of targeted RNA sequencing as an ancillary diagnostic technique for fusion gene detection in bone and soft tissue neoplasms.

Keywords: RNA-Seq; fusion; next-generation sequencing; sarcoma.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / genetics*
  • Bone Neoplasms / diagnosis*
  • Bone Neoplasms / genetics
  • Genetic Testing / methods*
  • Humans
  • Sarcoma / diagnosis*
  • Sarcoma / genetics
  • Sequence Analysis, RNA / methods*
  • Soft Tissue Neoplasms / diagnosis*
  • Soft Tissue Neoplasms / genetics

Substances

  • Biomarkers, Tumor