Marcus V A, Viloria J, Owen D, Tsao M S
Department of Pathology, Montreal General Hospital, Quebec, Canada.
Dis Colon Rectum. 1996 Nov;39(11):1322-6. doi: 10.1007/BF02055131.
Malignant rhabdoid tumors were first described in the kidney as a rare variant of Wilms' tumor with a "rhabdomyosarcomatoid" pattern and a particularly poor prognosis. Further studies have demonstrated these neoplasms as a distinct clinicopathologic entity. Subsequently, tumors with a similar histologic appearance, demonstrating the "rhabdoid" cells, have been found in a variety of extrarenal sites.
We report here a case of malignant rhabdoid tumor of the colon studied with selected molecular techniques.
This tumor demonstrated several unusual findings for malignant rhabdoid tumors of renal or extrarenal sites, including aneuploidy by flow cytometric analysis and a positive nuclear immunohistochemical staining for p53 protein, which suggests presence of p53 gene mutation. DNA analyses, however, failed to demonstrate the presence of point mutation in any of the ras family genes.
恶性横纹肌样瘤最初在肾脏中被描述为威尔姆斯瘤的一种罕见变体,具有“横纹肌肉瘤样”模式且预后特别差。进一步研究表明这些肿瘤是一种独特的临床病理实体。随后,在各种肾外部位发现了具有类似组织学表现、显示“横纹肌样”细胞的肿瘤。
我们在此报告一例经选定分子技术研究的结肠恶性横纹肌样瘤病例。
该肿瘤显示出一些肾或肾外部位恶性横纹肌样瘤的不寻常发现,包括流式细胞术分析显示的非整倍体以及p53蛋白的核免疫组化染色阳性,这提示存在p53基因突变。然而,DNA分析未能证明任何ras家族基因存在点突变。