Tumor rabdoide teratoide atípico del sistema nervioso central con INI1 positivo : presentación de un caso pediátrico.
Central nervous system atypical teratoid/ rhabdoid tumor with retained INI-1: a pediatric case
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Se presenta el caso de una paciente de 11 años de edad con diagnóstico de tumor rabdoide teratoide atípico del sistema nervioso central, con retención de la expresión del marcador INI 1, negatividad del marcador BRG1 y estudios de genética sin ninguna alteración correspondiente al cromosoma 22. Se logró una resección completa de la lesión, con posterior consolidación del tratamiento con quimioterapia y radioterapia y, a la fecha, en remisión de la enfermedad. La relevancia de este caso es la positividad del INI-1 en la inmunohistoquímica, que en el contexto de un tumor rabdoide teratoide atípico, no descarta esta entidad patológica, siendo útil la realización del marcador BRG1 para establecer el diagnóstico.
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- Tsai C, Wong T, Lee Y, Chao M, Lin S, et al. Intact INI1 gene region with paradoxical loss of protein expression in AT/RT: implications for a possible novel mechanism associated with absence of INI1 protein immunoreactivity. Am J Surg Pathol [Internet]. 2012;36(1):128-33. https://doi.org/10.1097/PAS.0b013e3182348cc4.
- Ryzhova M, Kadyrov S, Kumirova E, Shishkina L, Nikitin P, et al. Central nervous system atypical teratoid/rhabdoid tumor without loss of nuclear expression of INI1. Arkh Patol [Internet]. 2019;81(2):36-42. https://doi.org/10.17116/patol20198102136
- Bush J, Hancock B, Israels S, Ellison D, Stefanovici C, et al. Intracranial Atypical Teratoid/Rhabdoid Tumor Presenting as an Axillary Mass: A Case Report and Review of Literature. Pediatric and Developmental Pathology [Internet]. 2014;17(2):122–125. https://doi.org/10.2350/14-01-1427-CR.1
- Lafay L, Hawkins C, Carret A, Johnston D, Zelcer S, et al. Central nervous system atypical teratoid rhabdoid tumours: The Canadian Paediatric Brain Tumour Consortium experience. Eur J Cancer [Internet]. 2012;48(3):353–359. https://doi.org/10.1016/j.ejca.2011.09.005
- Buscariollo D, Park H, Roberts K, Yu J. Survival outcomes in atypical teratoid rhabdoid tumour for patients undergoing radiotherapy in a surveillance, epidemiology, and end results analysis. Cancer [Internet]. 2012;118(17):4212–4219. https://doi.org/10.1002/cncr.27373
- Haberler C, Laggner U, Slavc I, et al. Immunohistochemical analysis of INI1 protein in malignant pediatric CNS tumors: lack of INI1 in atypical teratoid/rhabdoid tumors and in a fraction of primitive neuroectodermal tumors without rhabdoid phenotype. Am J Surg Pathol [Internet]. 2006;30(11):1462–1468. https://doi.org/10.1097/01.pas.0000213329.71745.ef
- Bookhout C, Bouldin T, Ellison D. Atypical teratoid/rhabdoid tumor with retained INI1 (SMARCB1) expression and loss of BRG1 (SMARCA4). Neuropathology [Internet]. 2018;38(3):305-308. https://doi.org/10.1111/neup.12452
- Hasselblatt M, Nagel I, Oyen F, et al. SMARCA4 mutated atypical teratoid/rhabdoid tumors are associated with inherited germline alterations and poor prognosis. Acta Neuropathol [Internet]. 2014;128(3):453–456. https://doi.org/10.1007/s00401-014-1323-x
- Biegel J, Tan L, Zhang F, et al. Alterations of the hSNF5/INI1 gene in central nervous system atypical teratoid/rhabdoid tumors and renal and extrarenal rhabdoid tumors. Clin Cancer Res. 2002; 8(11):3461-7. PMID: 12429635
- Lee R, Stewart C, Carter S, et al.: A remarkably simple genome underlies highly malignant pediatric rhabdoid cancers. J Clin Invest [Internet]. 2012; 122(8): 2983-8. https://doi.org/10.1172/JCI64400
- PDQ® sobre el tratamiento pediátrico. PDQ Tratamiento del tumor teratoideo/rabdoide atípico del sistema nervioso central infantil. Bethesda, MD: National Cancer Institute. [Internet] Actualización: 03/01/2020. Disponible en: https://www.cancer.gov/espanol/tipos/cerebro/pro/tratamiento-atrt-snc-infantil-pdf
- Rao S, Konar S, Shukla D, Bhat D, Beniwal M, et al. Factors Influencing Survival of Children with Atypical Teratoid/Rhabdoid Tumors: A Single-Institute Experience in a Developing Country. World Neurosurg [Internet]. 2019;129:e264-e272. https://doi.org/10.1016/j.wneu.2019.05.126
- Nesvick C, Nageswara, Raghunathan A, Biegel J, Daniels D. Case-based review: atypical teratoid/rhabdoid tumor. Neuro-Oncology Practice [Internet]. 2018;6(3):163–178. https://doi.org/10.1093/nop/npy037
- Meena R, Doddamani R, Chipde H, Mahajan S, Chandra S, et al. Primary spinal atypical teratoid/rhabdoid tumour presenting with hematomyelia and subarachnoid haemorrhage-a case report. Childs Nerv Syst [Internet]. 2019 Oct 29. https://doi.org/10.1007/s00381-019-04412-9. [Epub ahead of print]
- ChoiJ, Kang H, Hong K, Hong C, Lee Y, et al. Tandem high-dose chemotherapy with topotecan–thiotepa–carboplatin and melphalan–etoposide–carboplatin regimens for pediatric high-risk brain tumors. Int J Clin Oncol [Internet]. 2019; 24(12): 1515–1525. https://doi.org/10.1007/s10147-019-01517-8
- Ishisaka E, Usami K, Kiyotani C, Terashima K, Ogiwara H. Neoadjuvant chemotherapy for atypical teratoid rhabdoid tumors (AT/RTs). Child's Nervous System [Internet]. 2020:(36):721–727. https://doi.org/10.1007/s00381-019-04422-7
- Quinn T, Almahariq M, Siddiqui Z, Thompson A, Hamstra D, et al. Trimodality therapy for atypical teratoid/rhabdoid tumor is associated with improved overall survival: A surveillance, epidemiology, and end results analysis Pediatr Blood Cancer [Internet]. 2019;66(12):e27969. https://doi.org/10.1002/pbc.27969