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A rare case of extrarenal Wilms tumor of the uterine corpus: comprehensive genomic profile and review of the literature

Title: A rare case of extrarenal Wilms tumor of the uterine corpus: comprehensive genomic profile and review of the literature
Authors: Alessandrini L.; Guerriero A.; Munari G.; Del Forno B.; Santoro L.; Marchetti M.; Nardin M.; Tozzi R.; Fassan M.; Dei Tos A. P.
Contributors: Alessandrini, L.; Guerriero, A.; Munari, G.; Del Forno, B.; Santoro, L.; Marchetti, M.; Nardin, M.; Tozzi, R.; Fassan, M.; Dei Tos, A. P.
Publication Year: 2023
Collection: Padua Research Archive (IRIS - Università degli Studi di Padova)
Subject Terms: endometrial rare histotype; extra-renal wilms tumor; molecular pathology
Description: Wilms tumor (WT), or nephroblastoma, is an uncommon malignant neoplasm occurring in the kidney of pediatric patients. Its extrarenal location is extremely rare and has been reported in various sites, including the female genital tract, with only 9 cases arising in the uterine corpus. We present the case of an adult woman who underwent total abdominal hysterectomy due to a uterine mass causing persistent abdominal pain. The characteristic triphasic morphology (composed of epithelial, stromal, and blastemal elements) supported by a broad immunohistochemical panel, along with the imaging exclusion of a renal neoplasm, was diagnostic of WT of the uterus. For the first time, a comprehensive genomic profiling of a uterine primary WT was also performed by next-generation sequencing, disclosing alterations at the level of copy number variations in the genes ERBB2, FGFR23, FGF6, FGFR2, and RPS6KB1. All previously reported uterine cases were reviewed, with a summary of their main clinicopathologic characteristics, and the main differential diagnoses are presented. Further reports are needed to improve our knowledge about prognostic factors, clinical behavior and molecular alterations that could guide appropriate therapeutic decision making.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/38180141; info:eu-repo/semantics/altIdentifier/wos/WOS:001203729200006; volume:115; issue:6; firstpage:333; lastpage:340; numberofpages:8; journal:PATHOLOGICA; https://hdl.handle.net/11577/3504548
DOI: 10.32074/1591-951X-943
Availability: https://hdl.handle.net/11577/3504548; https://doi.org/10.32074/1591-951X-943
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.B0C03086
Database: BASE