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Glucagonoma Masquerading as a Mucinous Cancer of the Ovary:Lessons from Cell Biology

Title: Glucagonoma Masquerading as a Mucinous Cancer of the Ovary:Lessons from Cell Biology
Authors: Ho, Gwo-Yaw; Ananda, Sumitra S; Vandenberg, Cassandra J; McNally, Orla M; Tie, Jeanne; Gorringe, Kylie Louise; Bowtell, David D L; Pyman, Jan M; Wakefield, Matthew J; Scott, Clare L
Contributors: Ho, Gwo Yaw; Frentzas, Sophia
Source: Ho, G-Y, Ananda, S S, Vandenberg, C J, McNally, O M, Tie, J, Gorringe, K L, Bowtell, D D L, Pyman, J M, Wakefield, M J & Scott, C L 2020, Glucagonoma Masquerading as a Mucinous Cancer of the Ovary : Lessons from Cell Biology. in G Y Ho & S Frentzas (eds), Gynaecological Malignancies : Updates and Advances. InTechOpen, pp. 1-15. https://doi.org/10.5772/intechopen.92554
Publisher Information: InTechOpen
Publication Year: 2020
Description: High-grade mucinous ovarian cancer (HGMOC) is often a misnomer as the majority of cases are metastatic disease with a gastro-intestinal origin. The standard platinum-based ovarian cancer (OC) chemotherapy regimens are often ineffective, and there are insufficient data to support the use of colorectal cancer (CRC) chemotherapy regimens due to the rarity of HGMOC. We described a cohort of four consecutive suspected HGMOC cases treated at the Royal Women’s Hospital, Melbourne in 2012. Two cases were treated as primary MOC, whereas the other two were considered to be metastatic CRC based on histopathological and clinical evidence. From the RNAseq analysis, we identified two cases of HGMOC whose gene expression profiles were consistent with mucinous epithelial OC, one case that was treated as metastatic CRC with gene expression profile correlated with CRC and one case with neuroendocrine (NET) gene expression features. Interestingly, glucagon was over-expressed in this tumor that was subsequently confirmed by immunohistochemistry. These findings suggest a rare glucagonoma-like NET appendiceal tumor that had metastasized to the surface of ovary and were unresponsive to CRC chemotherapy regimens. In summary, a carefully curated panel of expression markers and selected functional genomics could provide diagnosis and treatment guidance for patients with possible HGMOC.
Document Type: book part
File Description: application/pdf
Language: English
ISBN: 978-1-83880-305-6; 1-83880-305-X
Relation: info:eu-repo/semantics/altIdentifier/isbn/9781838803056; urn:ISBN:9781838803056
DOI: 10.5772/intechopen.92554
Availability: https://research.monash.edu/en/publications/509a434a-90aa-44fc-a76f-484f276a4690; https://doi.org/10.5772/intechopen.92554; https://researchmgt.monash.edu/ws/files/309739037/309738981_oa.pdf
Rights: info:eu-repo/semantics/openAccess
Accession Number: edsbas.EF42574B
Database: BASE