Abstract
Most adult germ cell tumors have a consistent cytogenetic abnormality, i(12p), and are aneuploid. Many pediatric germ cell tumors are biologically distinct from their adult counterparts, particularly endodermal sinus tumors (ESTs) of young children. We report cytogenetic and ploidy analysis of nine ESTs involving children under 3 years of age (four extragonadal and five testicular). Structural abnormalities were present in seven tumors and were identifiable in six: 5/6 had a structural abnormality of chromosome 1, usually terminal deletion of 1p; 5/6 showed 6q deletion; 3/6 had structural abnormalities of 3p; 2/6 showed abnormalities of chromosome 2. None showed an i(12p) or abnormality of chromosome 12. Ploidy analysis of the tumors correlated with the cytogenetic analysis; in particular, the tumor that was cytogenetically normal showed no aneuploid peaks. To determine if a marker chromosome was derived from chromosome 12 or if karyotypically normal cases included nondividing tumor cells, interphase fluorescence in situ hybridization using an alpha satellite probe for chromosome 12 was performed. These studies showed no evidence of an i(12p). We conclude that ESTs in young children show cytogenetic differences from their adult counterparts and that loci on 1p, 6q, and 3q need to be further studied..
Original language | English (US) |
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Pages (from-to) | 695-708 |
Number of pages | 14 |
Journal | Fetal and Pediatric Pathology |
Volume | 14 |
Issue number | 4 |
DOIs | |
State | Published - 1994 |
Funding
This study was supported in part by the Society for Pediatric Pathology Young Investigator Grant (EP), grant CA46289-03f rom the NIH-NCI (CG) and grant CA-30969f rom the National Cancer Institute. The authors acknowledge the pathologists and pediatric oncologistsw ho took the time and effort to submit the tumors now reported as well as those from older pediatric germ cell tumors that will be reported in the future. In particular, we thank those involved in tumor submission from Hopital Sainte-Justine; Children's Hospital of Birmingham, Alabama; East Carolina University School of Medicine; Miami Children's Hospital; Texas Children's Hospital; and The Johns Hopkins Hospital.
Keywords
- Cytogenetics
- Endodermal sinus tumor
- Fluorescence in situ hybridization
- Germ cell tumor
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Pathology and Forensic Medicine