Evidence map›Paper›PMID 42151322›Full record

ArticleScientific reports2026

MDM2 and DDIT3 coexpression in dedifferentiated liposarcoma with myxoid features: a retrospective cohort study.

Kivilcim Eren Ates, Gulfiliz Gonlusen, Seyda Erdogan, Akif Mirioglu

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Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Kivilcim Eren AtesDepartment of Pathology, Faculty of Medicine, Cukurova University, Adana, 01330, Turkey. kerdogan@cu.edu.tr.
Gulfiliz GonlusenDepartment of Pathology, Faculty of Medicine, Cukurova University, Adana, 01330, Turkey.
Seyda ErdoganDepartment of Pathology, Faculty of Medicine, Cukurova University, Adana, 01330, Turkey.
Akif MiriogluDepartment of Orthopaedics and Traumatology, Faculty of Medicine, Cukurova University, Adana, 01330, Turkey.

Funding

Cukurova University Scientific Research Project Office TSA-2025-17889.
6 · The paper itself

Abstract

Dedifferentiated liposarcoma (DDLPS) can exhibit myxoid morphology that closely mimics myxoid liposarcoma (MLPS), creating significant diagnostic challenges. DDIT3 immunohistochemistry (IHC), a specific marker for MLPS, has been reported in a subset of DDLPS cases, but its frequency, staining pattern, and clinical significance remain poorly characterised. We retrospectively analysed 46 DDLPS cases with prominent myxoid features (≥ 10% myxoid component) confirmed by MDM2 IHC and fluorescence in situ hybridisation (FISH), treated at a single tertiary centre between January 2007 and January 2026. DDIT3 IHC was scored using a semiquantitative H-score system. DDIT3 positivity occurred in 11 of 46 cases (23.9%, 95% CI: 12.6-38.8%), predominantly as focal staining (9/11, 81.8%). All DDIT3-positive cases exhibited myxoid components comprising > 25% of tumour volume, versus variable myxoid extent in DDIT3-negative cases (p < 0.001). Mean H-score in DDIT3-positive cases was 48.6 ± 32.4 (range 15-120), significantly lower than in true MLPS controls (mean 278 ± 22, p < 0.001). Tumour size > 15 cm significantly increased the risk of local recurrence (risk ratio [RR] = 2.31, 95% CI: 1.02-5.24, p = 0.048). DDIT3 expression showed no significant association with local recurrence (p = 0.337), distant metastasis (p = 0.825), or mortality (p = 0.805). Kaplan-Meier analysis revealed no significant difference in overall survival (log-rank p = 0.782) or recurrence-free survival (log-rank p = 0.614) between DDIT3-positive and DDIT3-negative groups. DDIT3 positivity in DDLPS with myxoid features predominantly produces focal, low-intensity staining that distinguishes it from true MLPS. DDIT3 expression reflects chromosomal co-amplification within the 12q13-15 amplicon and lacks prognostic significance. Combined MDM2 and DDIT3 IHC with careful morphological assessment aids differential diagnosis, particularly when molecular testing is unavailable.

Indexed as

LiposarcomaLiposarcoma, MyxoidProto-Oncogene Proteins c-mdm2Transcription Factor CHOPAdultAgedAged, 80 and overBiomarkers, TumorFemaleHumansImmunohistochemistryIn Situ Hybridization, FluorescenceMaleMiddle AgedPrognosisRetrospective StudiesBiomarkers, TumorDDIT3 protein, humanMDM2 protein, humanProto-Oncogene Proteins c-mdm2Transcription Factor CHOPDDIT3Dedifferentiated liposarcomaDifferential diagnosisImmunohistochemistryMDM2Myxoid featuresPrognosis

Identifiers

PMID42151322
PMCPMC13304168

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.