Document Detail


Molecular genetic evidence supporting the neoplastic nature of stromal cells in 'fibrosis' after chemotherapy for testicular germ cell tumours.
MedLine Citation:
PMID:  17634958     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A residual retroperitoneal mass containing only fibrosis and necrosis is present in 40-52% of patients with advanced testicular germ cell tumours after chemotherapy. The biological nature and genetic characteristics of the stromal cells in these residual masses have not been adequately investigated. Laser-microdissected stromal cells from 27 patients who underwent retroperitoneal lymph node dissection after chemotherapy for metastatic testicular germ cell tumour were analysed. Allelic loss in the stromal cells of fibrosis was present at one or more of the ten microsatellite DNA loci examined in 23 (85%) of the cases. Chromosome arm 12p anomalies, the hallmark of germ cell neoplasia, were present in nine (33%) cases. The high frequency of allelic losses and chromosome arm 12p anomalies in the stromal cells from residual retroperitoneal fibrous masses after chemotherapy for testicular germ cell tumours suggests that the stromal cells are derived from the same tumour progenitor cells as the pre-existing metastatic germ cell tumour.
Authors:
L Cheng; S Zhang; M Wang; D D Davidson; M J Morton; J Huang; S Zheng; T D Jones; S D Beck; R S Foster
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of pathology     Volume:  213     ISSN:  0022-3417     ISO Abbreviation:  J. Pathol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-12-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0204634     Medline TA:  J Pathol     Country:  England    
Other Details:
Languages:  eng     Pagination:  65-71     Citation Subset:  IM    
Affiliation:
Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA. lcheng@iupui.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Antineoplastic Combined Chemotherapy Protocols / therapeutic use
Chromosome Aberrations
Combined Modality Therapy
Fibrosis
Humans
In Situ Hybridization, Fluorescence
Loss of Heterozygosity
Lymph Node Excision
Lymphatic Metastasis
Male
Microdissection
Microsatellite Repeats / genetics
Microscopy, Confocal
Necrosis
Neoplasms, Germ Cell and Embryonal / genetics*,  pathology,  therapy
Orchiectomy
Stromal Cells / metabolism,  pathology*
Testicular Neoplasms / genetics*,  pathology,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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