Document Detail


High incidence of malformation syndromes in a series of 1,073 children with cancer.
MedLine Citation:
PMID:  15712196     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Constitutional molecular defects are known to play a role in oncogenesis, as shown by the increased incidence of embryonic cancers in children with Beckwith-Wiedemann syndrome (BWS) or of leukemia in children with Down syndrome. To establish the incidence and spectrum of malformation syndromes associated with childhood cancer we performed a clinical morphological examination on a series of 1,073 children with cancer. We diagnosed a syndrome in 42 patients (3.9%) and suspected the presence of a syndrome in another 35 patients (3.3%), for a total of 7.2%. This incidence of patients with a proven or suspected syndrome is high, and points to a possible association. We describe new syndrome-tumor associations in several entities: cleidocranial dysostosis (Wilms tumor), Bardet-Biedl syndrome (BBS) (acute lymphoblastic leukemia), Kabuki syndrome (neuroblastoma), LEOPARD syndrome (neuroblastoma), Poland anomaly (osteosarcoma; Hodgkin disease), and blepharophimosis epicanthus inversus syndrome (Burkitt lymphoma). Twenty of the 42 syndrome diagnoses were not recognized in the patients prior to this study, indicating that these diagnoses are commonly missed. We propose that all children with a malignancy should be examined by a clinical geneticist or a pediatrician skilled in clinical morphology to determine if the patients have a malformation syndrome.
Authors:
Johannes Hans M Merks; Huib N Caron; Raoul C M Hennekam
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of medical genetics. Part A     Volume:  134A     ISSN:  1552-4825     ISO Abbreviation:  Am. J. Med. Genet. A     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-03-24     Completed Date:  2005-06-27     Revised Date:  2008-05-21    
Medline Journal Info:
Nlm Unique ID:  101235741     Medline TA:  Am J Med Genet A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  132-43     Citation Subset:  IM    
Copyright Information:
(c) 2005 Wiley-Liss, Inc.
Affiliation:
Department of Pediatric Oncology, Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands. j.h.merks@amc.uva.nl
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis,  epidemiology*,  genetics
Adolescent
Adult
Child
Child, Preschool
Cohort Studies
Comorbidity
DNA Methylation
Female
Genetic Predisposition to Disease / genetics
Humans
Incidence
Infant
Infant, Newborn
Male
Middle Aged
Mutation
Neoplasms / epidemiology*
Netherlands / epidemiology
Syndrome
Comments/Corrections
Comment In:
Am J Med Genet A. 2006 Apr 15;140(8):932   [PMID:  16532461 ]

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