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- Title
D/CERI-associated metastatic abdominopelvic primitive neuroectodermal tumor with an EWSR1 rearrangement in a 16-yr-old female.
- Authors
Pancaldi, Alessia; Lei Peng; Rhee, Daniel S.; Dunn, Emily; Forcucci, Jessica A.; Belchis, Deborah; Pratilas, Christine A.
- Abstract
We report a case of a DICER1-associated EWSR1-rearranged malignant primitive neuroectodermal tumor (PNET) arising in a patient with DICER1 tumor predisposition syndrome. A 16-yr-old female with a history of multinodular goiter presented with a widely met-astaticabdominal small round blue cell tumorwith neuroectodermal differentiation. EWSR1 gene rearrangement was identified in the tumor by fluorescence in situ hybridization (FISH). Genetic analysis revealed biallelic pathogenic DICER1 variation. The patient was treated with an aggressive course of chemotherapy, surgery, and radiation with complete pathologic response. We believe this case to represent a new expression of the DICER1 tumor predisposition syndrome, an entity caused by deleterious germline mutations in the DICER1 gene, encoding a ribonuclease active in the processing of miRNA. Patients with germline mutations in DICER1 develop a diverse group of benign and malignant tumors. Some of these tumors have been noted to have immature neuroepithelium as a component, including the ciliary body medulloepithelioma and the recently described DICERI-associated presacral malignant teratoid neoplasm. To our knowledge, abdominal sarcomas that resemble PNET histology with an EWSR1 rearrangement have not previously been described as a classical expression of the DICER1 syndrome phenotype.
- Subjects
NEUROECTODERMAL tumors; IN situ hybridization; GOITER; TUMORS; MICRORNA
- Publication
Cold Spring Harbor Molecular Case Studies, 2020, Vol 6, Issue 5, p1
- ISSN
2373-2873
- Publication type
Article
- DOI
10.1101/mcs.a005603