Teratoma with Malignant Transformation: A Case Report with Pathological, Cytogenetic, and Immunohistochemistry Analysis.

Background. Teratoma withmalignant transformation (TMT) is rare and most commonly encountered in adult patient with germ cell tumor (GCT). Method. We report a rare case of testicular teratoma with metastatic TMT/embryonal rhabdomyosarcoma (ERMS). A 44-year-old man underwent right orchiectomy which r...

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Publicado en:Sarcoma pp. 1 - 6
Autores principales: Jue Wang, Jaffar Kazmi, Syed A.
Formato: case study diagnostic images pictorial Journal Article
Publicado: Wiley-Blackwell 2011
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2011
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Teratoma with Malignant Transformation: A Case Report with Pathological, Cytogenetic, and Immunohistochemistry Analysis.
      aug:
        au:
          Jue Wang
          Jaffar Kazmi, Syed A.
        affil: Department of Internal Medicine, Section of Oncology-Hematology, University of Nebraska Medical Center, Omaha, NE 68198-7680, USA
      sug:
        subj:
          Teratoma Pathology
          Cell Transformation, Neoplastic
          Rhabdomyosarcoma Pathology
          Germinoma Pathology
          Teratoma Therapy
          Rhabdomyosarcoma Therapy
          Germinoma Therapy
          Cytogenetic Analysis
          Immunohistochemistry
          Adult
          Male
          Neoplasm Metastasis
          Biological Markers
          Combined Modality Therapy
          Lung Neoplasms Therapy
          Testicular Neoplasms Therapy
          Liver Neoplasms Therapy
          In Situ Hybridization, Fluorescence
          Adult: 19-44 years
          Male
      ab: Background. Teratoma withmalignant transformation (TMT) is rare and most commonly encountered in adult patient with germ cell tumor (GCT). Method. We report a rare case of testicular teratoma with metastatic TMT/embryonal rhabdomyosarcoma (ERMS). A 44-year-old man underwent right orchiectomy which revealed a malignant teratoma, he subsequently had right pneumonectomy with two pulmonarymasses containing a high-grade embryonal rhabdomyosarcoma. The patient developed liver metastasis three months after initial diagnosis. He was treated with a chemotherapy regimen with vincristine, dactinomycin, and cyclophosphamide (VAC) alternating with vincristine and irinotecan (VI) with complete resolution of his liver lesion. The tumors were examined with a battery of cytogenetic, immunohistochemical, and molecular assays. Results. The malignant cells were immunohistochemically positive for desmin, myogenin, and Myo D1. Molecular cytogenetics of embryonal rhabdomyosarcoma tissue revealed the presence of i(12p). The tumor expressed high level of TOPO2A, TOPO1, MRP1, MGMT, BCRP, ERCC1, RRM1, and TS. Conclusion. The activity of topoisomerase inhibitors and the potential usefulness of topoisomerase expression as biomarkers should be further tested in aprospective study.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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