Tran Dustin, Camelo-Piragua Sandra, Gupta Avneesh, Gowans Kate, Robertson Patricia L, Mody Rajen, Koschmann Carl
Departments of *Pediatrics, Division of Pediatric Hematology-Oncology †Pathology §Pediatrics, Division of Neurology, University of Michigan, Ann Arbor ‡Division of Pediatric Hematology-Oncology, Beaumont Hospital, Royal Oak, MI.
J Pediatr Hematol Oncol. 2017 Nov;39(8):e466-e469. doi: 10.1097/MPH.0000000000000873.
Atypical teratoid/rhabdoid tumor (AT/RT) is a malignant tumor that is commonly associated with biallelic alterations of SMARCB1. Recurrent or refractory AT/RT has not been molecularly characterized as well. We present the case of a child with recurrent AT/RT who underwent clinically integrated molecular profiling (germline DNA and tumor DNA/RNA sequencing). This demonstrated a somatic lesion in CDKN1C alongside hallmark loss of SMARCB1. This data allowed us to explore potential personalized therapies for this patient and expose a molecular driver that may be involved in similar cases.
非典型畸胎样/横纹肌样瘤(AT/RT)是一种恶性肿瘤,通常与SMARCB1的双等位基因改变有关。复发性或难治性AT/RT也尚未进行分子特征分析。我们报告了一例复发性AT/RT患儿的病例,该患儿接受了临床综合分子分析(种系DNA和肿瘤DNA/RNA测序)。这显示CDKN1C存在体细胞病变,同时伴有SMARCB1特征性缺失。这些数据使我们能够探索针对该患者的潜在个性化治疗方法,并揭示可能在类似病例中起作用的分子驱动因素。