ELSEVIER
Chromosomal Abnormalities in Choriocarcinomas
of the Female
Eduardo Rodriguez, Jonathan Melamed, Victor Reuter,
and R. S. K. Chaganti
ABSTRACT: We have studied six cases of choriocarcinomas in the female by conventional cytogenetic
analysis and by in situ hybridization using a 12p painting probe, and found evidence for chromosome
12 abnormalities in two of them. Abnormalities of chromosome 12 are a common occurrence in genitouri-
nary tumors of the female, but their significance is not known. We discuss the present findings in relation
to those in malignant ovarian germ cell tumors (MOGCTs).
INTRODUCTION
Choriocarcinomas in the female may result from malignant
transformation of ovarian germ cells or from gestational
trophoblastic disease, the latter either from trophoblasts of
pregnant concepti [1] or complete hydatidiform moles [2].
Heterozygous (XY) moles derived from dispermic fertiliza-
tion of empty eggs have been suggested to carry a higher
potential for malignant transformation than homozygous (XX)
moles derived from parthenogenetic reduplication of empty
eggs fertilized by one sperm [2].
Previously, only four primary choriocarcinomas have been
analyzed by cytogenetics and all showed abnormalities of
chromosome 12 in the form of polysomy. In addition, one
case had a del(12q) and another had an i(12)(q10) [3, 4]. In
this study, we have analyzed the karyotypes of six cases of
choriocarcinomas in the female by conventional banding and
by in situ hybridization (ISH), using a 12p painting probe,
and found chromosome 12 to be abnormal in two.
MATERIALS AND METHODS
Tumor Ascertainment, Cell Culture,
and Cytogenetic Analysis
The six tumors studied represent part of a consecutive ascer-
tainment of female choriocarcinomas submitted for cyto-
genetic analysis at the Memorial Sloan-Kettering Cancer
Center between June 1988 and June 1993. Tumors were pro-
From the Cell Biology and Genetics Program and the Cytogenetics
Service, Department of Pathology, Memorial Sloan-Kettering Can-
cer Center, New York, New York.
This work was supported in part by NIH grants CA-05826 and
CA-08748, and by The Byrne Fund.
Address reprint requests to: Dr. R. S. K. Chaganti, Memorial
Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY
10021.
Received May 2Z 1994; accepted July 8, 1994.
Cancer Genet Cytogenet 80:9-12 (1995)
© Elsevier Science Inc., 1995
655 Avenue of the Americas, New York, NY 10010
cessed and cultured for cytogenetic analysis as previously
described [5].
In Situ Hybridization
A 12p painting probe generated by microdissection from
metaphase spreads obtained from phytohemagglutinin-
stimulated peripheral blood lymphocytes [6] was used to hy-
bridize to interphase nuclei of cultured cells. As control, a
chromosome I centromeric satellite probe was hybridized
to separate slides of each of the cases. Hybridization and sig-
nal detection of the 12p painting probe and the chromosome
I centromeric probe were performed using ONCOR (Gaithers-
burg, MD) reagents and protocols as described [7]. The
propidium iodide-stained slides were visualized using a
Nikon fluorescence microscope equipped with a B filter.
To determine the sex chromosome composition of the
choriocarcinomas, interphase spreads were hybridized with
biotin-labeled Y chromosome centromeric satellite probe and
to digoxigenin-labeled X chromosome centromeric satellite
probe. Detection was performed using ONCOR (Gaithersburg,
MD) reagents and protocols.
RESULTS
Table 1 presents the histologic, karyotypic, and in situ hy-
bridization results of the six tumors studied. The choriocar-
cinomas were all derived from gestational trophoblastic dis-
ease. Figure I illustrates the histologic characteristics of the
tumors. By cytogenetic analysis, three presented abnormal
karyotypes, one was a cytogenetic failure due to the lack of
tumor cell growth in culture, and in the remaining two only
normal cells were found. Two of the tumors with abnormal
karyotype had chromosome 12 abnormalities (Fig. 2); one
had trisomy 12 (163A), and the other had a rearrangement
at band 12p13 (317A). Hybridization of the 12p painting probe
did not reveal extra copies of 12p in any of the cases apart
from 163A which was trisomic. Specimen 317A did not re-
veal extra copies of 12p.
0165-4608/95/$9.50
SSDI 0165-4608(94)00145-2