Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults

Autor: Maria-Ioanna Christodoulou, Anna Koumarianou, Theodoros Piperos, Dimitrios Vlachodimitropoulos, Panagiota Oikonomopoulou, Margarita Baka, Kakoulis Theodoulou, Theodoros Mariolis-Sapsakos, Stylianos Argentos
Jazyk: angličtina
Rok vydání: 2013
Předmět:
Zdroj: Case Reports in Oncological Medicine, Vol 2013 (2013)
Case Reports in Oncological Medicine
ISSN: 2090-6714
2090-6706
Popis: MYCN is a well-known oncogene overexpressed in different human malignancies including neuroblastoma, rhabdomyosarcoma, medulloblastoma, astrocytoma, Wilms’ tumor, and small cell lung cancer. While neuroblastoma is one of the most common childhood malignancies, in adults it is extremely rare and its treatment is based on pediatric protocols that take into consideration stage and genotypic features, such as MYCN amplification. Although neuroblastoma therapy has evolved, identification of early stage patients who need chemotherapy continues to pose a therapeutic challenge. The emerging prognostic role of MYCN phenotype of this disease is currently under investigation as it may redefine MYCN amplified subgroups. We describe an unusual case of adult neuroblastoma with MYCN amplification diagnosed incidentally and discuss possible therapeutic dilemmas.
Databáze: OpenAIRE