A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases

We describe the presentation, management, and clinical outcome of a massive acinic cell carcinoma of the parotid gland. The primary tumor and blood underwent exome sequencing which revealed deletions in CDKN2A as well as PPP1R13B, which induces p53. A damaging nonsynonymous mutation was noted in EP3...

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Main Authors: Anthony C. Nichols, Michelle Chan-Seng-Yue, John Yoo, Sumit K. Agrawal, Maud H. W. Starmans, Daryl Waggott, Nicholas J. Harding, Samuel A. Dowthwaite, David A. Palma, Kevin Fung, Bret Wehrli, S. Danielle MacNeil, Philippe Lambin, Eric Winquist, James Koropatnick, Joe S. Mymryk, Paul C. Boutros, John W. Barrett
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2013/270362
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author Anthony C. Nichols
Michelle Chan-Seng-Yue
John Yoo
Sumit K. Agrawal
Maud H. W. Starmans
Daryl Waggott
Nicholas J. Harding
Samuel A. Dowthwaite
David A. Palma
Kevin Fung
Bret Wehrli
S. Danielle MacNeil
Philippe Lambin
Eric Winquist
James Koropatnick
Joe S. Mymryk
Paul C. Boutros
John W. Barrett
author_facet Anthony C. Nichols
Michelle Chan-Seng-Yue
John Yoo
Sumit K. Agrawal
Maud H. W. Starmans
Daryl Waggott
Nicholas J. Harding
Samuel A. Dowthwaite
David A. Palma
Kevin Fung
Bret Wehrli
S. Danielle MacNeil
Philippe Lambin
Eric Winquist
James Koropatnick
Joe S. Mymryk
Paul C. Boutros
John W. Barrett
author_sort Anthony C. Nichols
collection DOAJ
description We describe the presentation, management, and clinical outcome of a massive acinic cell carcinoma of the parotid gland. The primary tumor and blood underwent exome sequencing which revealed deletions in CDKN2A as well as PPP1R13B, which induces p53. A damaging nonsynonymous mutation was noted in EP300, a histone acetylase which plays a role in cellular proliferation. This study provides the first insights into the genetic underpinnings of this cancer. Future large-scale efforts will be necessary to define the mutational landscape of salivary gland malignancies to identify therapeutic targets and biomarkers of treatment failure.
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spelling doaj-art-de7a2f8b41824da7836d5428cffab3712025-02-03T01:07:30ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/270362270362A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant MetastasesAnthony C. Nichols0Michelle Chan-Seng-Yue1John Yoo2Sumit K. Agrawal3Maud H. W. Starmans4Daryl Waggott5Nicholas J. Harding6Samuel A. Dowthwaite7David A. Palma8Kevin Fung9Bret Wehrli10S. Danielle MacNeil11Philippe Lambin12Eric Winquist13James Koropatnick14Joe S. Mymryk15Paul C. Boutros16John W. Barrett17Department of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaInformatics and Biocomputing Platform, Ontario Institute for Cancer Research, Toronto, ON, M5G 1L7, CanadaDepartment of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaDepartment of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaInformatics and Biocomputing Platform, Ontario Institute for Cancer Research, Toronto, ON, M5G 1L7, CanadaInformatics and Biocomputing Platform, Ontario Institute for Cancer Research, Toronto, ON, M5G 1L7, CanadaInformatics and Biocomputing Platform, Ontario Institute for Cancer Research, Toronto, ON, M5G 1L7, CanadaDepartment of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaLondon Regional Cancer Program, London, ON, N6A 4L6, CanadaDepartment of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaDepartment of Pathology, The University of Western Ontario, London, ON, N6A 5C1, CanadaDepartment of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaDepartment of Radiation Oncology (Maastro), GROW School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The NetherlandsLondon Regional Cancer Program, London, ON, N6A 4L6, CanadaLondon Regional Cancer Program, London, ON, N6A 4L6, CanadaLondon Regional Cancer Program, London, ON, N6A 4L6, CanadaInformatics and Biocomputing Platform, Ontario Institute for Cancer Research, Toronto, ON, M5G 1L7, CanadaDepartment of Otolaryngology Head and Neck Surgery, The University of Western Ontario, Victoria Hospital, London Health Science Centre, Room B3-431A, 800 Commissioners Road East, London, ON, N6A 5W9, CanadaWe describe the presentation, management, and clinical outcome of a massive acinic cell carcinoma of the parotid gland. The primary tumor and blood underwent exome sequencing which revealed deletions in CDKN2A as well as PPP1R13B, which induces p53. A damaging nonsynonymous mutation was noted in EP300, a histone acetylase which plays a role in cellular proliferation. This study provides the first insights into the genetic underpinnings of this cancer. Future large-scale efforts will be necessary to define the mutational landscape of salivary gland malignancies to identify therapeutic targets and biomarkers of treatment failure.http://dx.doi.org/10.1155/2013/270362
spellingShingle Anthony C. Nichols
Michelle Chan-Seng-Yue
John Yoo
Sumit K. Agrawal
Maud H. W. Starmans
Daryl Waggott
Nicholas J. Harding
Samuel A. Dowthwaite
David A. Palma
Kevin Fung
Bret Wehrli
S. Danielle MacNeil
Philippe Lambin
Eric Winquist
James Koropatnick
Joe S. Mymryk
Paul C. Boutros
John W. Barrett
A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases
Case Reports in Oncological Medicine
title A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases
title_full A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases
title_fullStr A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases
title_full_unstemmed A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases
title_short A Case Report and Genetic Characterization of a Massive Acinic Cell Carcinoma of the Parotid with Delayed Distant Metastases
title_sort case report and genetic characterization of a massive acinic cell carcinoma of the parotid with delayed distant metastases
url http://dx.doi.org/10.1155/2013/270362
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