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

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...

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Main Authors: Anna Koumarianou, Panagiota Oikonomopoulou, Margarita Baka, Dimitrios Vlachodimitropoulos, Stylianos Argentos, Theodoros Piperos, Maria-Ioanna Christodoulou, Kakoulis Theodoulou, Theodoros Mariolis-Sapsakos
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/393128
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author Anna Koumarianou
Panagiota Oikonomopoulou
Margarita Baka
Dimitrios Vlachodimitropoulos
Stylianos Argentos
Theodoros Piperos
Maria-Ioanna Christodoulou
Kakoulis Theodoulou
Theodoros Mariolis-Sapsakos
author_facet Anna Koumarianou
Panagiota Oikonomopoulou
Margarita Baka
Dimitrios Vlachodimitropoulos
Stylianos Argentos
Theodoros Piperos
Maria-Ioanna Christodoulou
Kakoulis Theodoulou
Theodoros Mariolis-Sapsakos
author_sort Anna Koumarianou
collection DOAJ
description 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.
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institution Kabale University
issn 2090-6706
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language English
publishDate 2013-01-01
publisher Wiley
record_format Article
series Case Reports in Oncological Medicine
spelling doaj-art-738bdf584dba4ed18c80c2c16180c79f2025-02-03T06:48:37ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/393128393128Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in AdultsAnna Koumarianou0Panagiota Oikonomopoulou1Margarita Baka2Dimitrios Vlachodimitropoulos3Stylianos Argentos4Theodoros Piperos5Maria-Ioanna Christodoulou6Kakoulis Theodoulou7Theodoros Mariolis-Sapsakos8Fourth Department of Internal Medicine, Attikon University Hospital, Rimini 1, 12462 Haidari, Athens, GreeceDepartment of Medical Oncology, St Bartholomew’s Hospital, West Smithfield, London EC1A 7BE, UKDepartment of Pediatric Hematology-Oncology, “Pan. & Aglaia Kyriakou” Children's Hospital, Thivon & Livadias Street, 11527 Athens, GreeceLaboratory Forensic Medicine and Toxicology, Evgenidion Hospital University of Athens, 76th V. Sofias, 11528 Athens, GreeceRadiology Department, Attikon University Hospital, 1st Rimini Street, 12462 Athens, GreeceDepartment of Surgery, Evgenidion Hospital, 20th Papadiamantopoulou Street, 11528 Athens, GreeceDepartment of Biochemistry and Molecular Biology, University of Athens, Panepistimiopolis, 15701 Athens, GreeceDepartment of Surgery, Evgenidion Hospital, 20th Papadiamantopoulou Street, 11528 Athens, GreeceDepartment of Surgery, Evgenidion Hospital, 20th Papadiamantopoulou Street, 11528 Athens, GreeceMYCN 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.http://dx.doi.org/10.1155/2013/393128
spellingShingle Anna Koumarianou
Panagiota Oikonomopoulou
Margarita Baka
Dimitrios Vlachodimitropoulos
Stylianos Argentos
Theodoros Piperos
Maria-Ioanna Christodoulou
Kakoulis Theodoulou
Theodoros Mariolis-Sapsakos
Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults
Case Reports in Oncological Medicine
title Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults
title_full Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults
title_fullStr Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults
title_full_unstemmed Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults
title_short Implications of the Incidental Finding of a MYCN Amplified Adrenal Tumor: A Case Report and Update of a Pediatric Disease Diagnosed in Adults
title_sort implications of the incidental finding of a mycn amplified adrenal tumor a case report and update of a pediatric disease diagnosed in adults
url http://dx.doi.org/10.1155/2013/393128
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