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- Title
Genetic Profiling of Sebaceous Carcinoma Arising from an Ovarian Mature Teratoma: A Case Report.
- Authors
Zaitsu, Sumika; Aoyagi, Yoko; Nishida, Haruto; Nakamura, Kohei; Yano, Mitsutake; Kobayashi, Eiji
- Abstract
Ovarian mature teratomas (OMTs) originate from post-meiotic germ cells. Malignant transformation occurs in approximately 1–2% of OMTs; however, sebaceous carcinoma arising from OMTs is rare. This is the first report of a detailed genomic analysis of sebaceous carcinoma arising from an OMT. A 36-year-old woman underwent evaluation for abdominal tumors and subsequent hysterectomy and salpingo-oophorectomy. Pathologically, a diagnosis of stage IA sebaceous carcinoma arising from an OMT was established. Eight months post-surgery, the patient was alive without recurrence. Immunohistochemically, the tumor was negative for mismatch repair proteins. A nonsense mutation in TP53 (p.R306*) and a deletion in PIK3R1 were identified. Single nucleotide polymorphisms across all chromosomes displayed a high degree of homozygosity, suggestive of uniparental disomy. Herein, the OMT resulting from the endoreduplication of oocytes underwent a malignant transformation to sebaceous carcinoma via TP53 as an early event and PIK3R1 as a late event.
- Subjects
SEBACEOUS gland diseases; TERATOMA; DNA mismatch repair; SINGLE nucleotide polymorphisms; ABDOMINAL tumors; NONSENSE mutation; FERTILITY preservation; INDUCED ovulation
- Publication
International Journal of Molecular Sciences, 2024, Vol 25, Issue 12, p6351
- ISSN
1661-6596
- Publication type
Article
- DOI
10.3390/ijms25126351