Anatomic Pathology: Bone and Joint Pathology

• Li-Fraumeni syndrome (caused by an inherited mutant p53 allele) is associated with a greater risk of sarcomas (and other malignancies), in particular, a 500 times greater risk of osteosarcoma.

• In sporadic osteosarcoma, loss of heterozygosity at 17p and TP53 mutation are evident in 30% of osteosarcomas.

• A reciprocal X;18 translocation is characteristic of synovial sarcoma.

• Multiple nonreciprocal translocations and deletions involving various chromosomes and 1p rearrangements were reported in conventional chondrosarcoma.

• A nonrandom translocation 9;22 has been implicated in extraskeletal myxoid chondrosarcoma.

Fletcher CDM, Unni KK, Mertens F (eds): World Health Organization Classification of Tumours. Lyon: IARC Press, 2002.

Wold LE, Adler CP, Sim FH, et al (eds): Atlas of Orthopaedic Pathology, 2nd ed. Philadelphia: Saunders, 2004.

 
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