Clonal evidence for the development of neuroblastoma with extensive copy‐neutral loss of heterozygosity arising in a mature teratoma

Mature teratomas are usually benign tumors that rarely undergo malignant transformation. We report an advanced neuroblastoma arising in a mature teratoma of the ovary. Whole‐exome sequencing identified extensive copy‐neutral loss of heterozygosity (LOH) in both neuroblastoma and teratoma elements, s...

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Veröffentlicht in:Cancer science 2021-07, Vol.112 (7), p.2921-2927
Hauptverfasser: Ono, Rintaro, Ueno, Hiroo, Yoshida, Kenichi, Takahashi, Satoko, Yoshihara, Hiroki, Nozaki, Taiki, Suzuki, Koyu, Nakazawa, Atsuko, Saiki, Ryunosuke, Seki, Masafumi, Takita, Junko, Ogawa, Seishi, Manabe, Atsushi, Hasegawa, Daisuke
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container_end_page 2927
container_issue 7
container_start_page 2921
container_title Cancer science
container_volume 112
creator Ono, Rintaro
Ueno, Hiroo
Yoshida, Kenichi
Takahashi, Satoko
Yoshihara, Hiroki
Nozaki, Taiki
Suzuki, Koyu
Nakazawa, Atsuko
Saiki, Ryunosuke
Seki, Masafumi
Takita, Junko
Ogawa, Seishi
Manabe, Atsushi
Hasegawa, Daisuke
description Mature teratomas are usually benign tumors that rarely undergo malignant transformation. We report an advanced neuroblastoma arising in a mature teratoma of the ovary. Whole‐exome sequencing identified extensive copy‐neutral loss of heterozygosity (LOH) in both neuroblastoma and teratoma elements, suggesting that the neuroblastoma evolved from the teratoma. In addition, several truncating germline heterozygous variants in tumor suppressor genes, including RBL2 and FBXW12, became homozygous as a result of LOH. Collectively, we speculate that extensive LOH in teratoma cells may force heterozygous germline variants to become homozygous, which, in turn, may contribute to the development of neuroblastoma with the acquisition of additional chromosomal changes. A model of malignant transformation from teratoma to neuroblastoma.
doi_str_mv 10.1111/cas.14931
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source Wiley Online Library Open Access; DOAJ Directory of Open Access Journals; Wiley Online Library Journals Frontfile Complete; PubMed Central; SWEPUB Freely available online
subjects Analysis
cancer genome/genetics
Case Report
Chemotherapy
copy‐neutral loss of heterozygosity
Genes
Genomes
genomic analysis
Genomics
Heterozygosity
Loss of heterozygosity
Lymphatic system
malignant transformation
Mutation
Neuroblastoma
Ovaries
Scintigraphy
Teratoma
Transplants & implants
Tumor suppressor genes
Tumors
Vincristine
title Clonal evidence for the development of neuroblastoma with extensive copy‐neutral loss of heterozygosity arising in a mature teratoma
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