Cytogenetic investigation of a malignant ovarian tumor diagnosed as a mixed germ-cell tumor, composed of extensive choriocarcinoma and foci of yolk-sac tumor, revealed a highly abnormal chromosomal pattern. We found a chromosome number in the hypertriploid/hypotetraploid range, and several clonal st
Ovarian germ cell tumor evolving to myelodysplasia
โ Scribed by James T. Mascarello; Trilla R. Cajulis; Glenn F. Billman; Wayne E. Spruce
- Publisher
- John Wiley and Sons
- Year
- 1993
- Tongue
- English
- Weight
- 421 KB
- Volume
- 7
- Category
- Article
- ISSN
- 1045-2257
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โฆ Synopsis
W e present the case of a 14-year-old girl in whom a myelodysplastic syndrome was diagnosed 9 months after surgical resection and chemotherapy for an ovarian germ cell tumor. Cells from her marrow were characterized by trisomy 8 and an isochromosome I2p, a marker that appears to be unique to germ cell tumors. The presence of the same two anomalies in her original tumor was demonstrated by fluorescence in situ hybridization study of interphase cells in paraffin-embedded tissues and thus provided strong evidence that the two neoplasms had a common clonal origin. Genes Chrom Cancer 7: 227-230 (1993).
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## BACKGROUND. Combination chemotherapy has dramatically improved the prognosis of patients with nondysgerminomatous ovarian germ cell tumors (NDOGCT). However, guidelines are needed for the identification of patients at risk of relapse. ## METHODS. The authors performed a retrospective analys