Document Detail


Undifferentiated carcinoma with osteoclastic giant cells (UCOCGC) of the pancreas associated with the familial atypical multiple mole melanoma syndrome (FAMMM).
MedLine Citation:
PMID:  18813118     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The familial atypical multiple mole melanoma (FAMMM) syndrome is caused by a germline mutation of p16. More than 90% of the sporadic pancreatic carcinomas contain genetic alterations that inactivate p16. Patients with the FAMMM syndrome have an increased risk of developing pancreatic cancer. Ductal adenocarcinoma is the most common cancer of the pancreas and the one encountered in patients with FAMMM syndrome. Undifferentiated carcinoma with osteoclastic giant cells, also referred to as UCOCGC of the pancreas, is a rare variant of pancreatic cancer. An UCOCGC of the pancreas associated with FAMMM syndrome is described in this report. Molecular analysis confirmed a germline p16-Leiden deletion in the UCOCGC, accompanied by somatic loss of heterozygosity of the second p16 allele, and absence of p16 protein expression in the neoplastic cells. It is the first case reported and it provides additional evidence that UCOCGC can be considered as a variant of conventional ductal adenocarcinoma of the pancreas.
Authors:
Jan-Bart M Koorstra; Anirban Maitra; Folkert H M Morsink; Paul Drillenburg; Fiebo J W ten Kate; Ralph H Hruban; Johan A Offerhaus
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of surgical pathology     Volume:  32     ISSN:  1532-0979     ISO Abbreviation:  Am. J. Surg. Pathol.     Publication Date:  2008 Dec 
Date Detail:
Created Date:  2008-12-04     Completed Date:  2009-01-23     Revised Date:  2011-01-14    
Medline Journal Info:
Nlm Unique ID:  7707904     Medline TA:  Am J Surg Pathol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1905-9     Citation Subset:  IM    
Affiliation:
Department of Pathology, University Medical Center Utrecht, Utrecht, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adult
Calcinosis / pathology
Carcinoma, Pancreatic Ductal / complications*,  genetics,  pathology
Cyclin-Dependent Kinase Inhibitor p16 / biosynthesis,  genetics
Dysplastic Nevus Syndrome / complications*,  genetics,  pathology
Gene Deletion
Genes, p16
Giant Cells / pathology*
Humans
Immunohistochemistry
Loss of Heterozygosity
Male
Osteoclasts / pathology
Pancreatic Neoplasms / complications*,  genetics,  pathology
Pedigree
Syndrome
Grant Support
ID/Acronym/Agency:
CA62924/CA/NCI NIH HHS; P50 CA062924-150016/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Cyclin-Dependent Kinase Inhibitor p16
Comments/Corrections

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