Could APC gene screening be useful in children with hepatoblastoma? Early onset of adenocarcinoma in a child with familial adenomatous polyposis and hepatoblastoma

Tumori. 2009 Nov-Dec;95(6):819-22. doi: 10.1177/030089160909500629.

Abstract

Familial adenomatous polyposis is an inherited disorder characterized by the development of hundreds of colorectal adenomas during adolescence, which in many cases will transform into colorectal cancer by the fourth decade of life, along with the development of various malignant tumors including hepatoblastoma. We report on a female patient with a de novo interstitial deletion of 5q21.3-q23.3, encompassing the APC gene, associated with adenomatous polyposis and early colorectal cancer, hepatoblastoma, epidermoid cysts, mental retardation, several mild dysmorphic signs and lower limb venous thrombosis.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / complications
  • Adenocarcinoma / genetics*
  • Adenocarcinoma / surgery
  • Adenomatous Polyposis Coli / complications
  • Adenomatous Polyposis Coli / genetics*
  • Adolescent
  • Age of Onset
  • Chromosomes, Human, Pair 5
  • Colectomy
  • Colonic Neoplasms / complications
  • Colonic Neoplasms / genetics*
  • Colonic Neoplasms / surgery
  • Epidermal Cyst / genetics
  • Female
  • Gene Deletion*
  • Genes, APC*
  • Genetic Predisposition to Disease
  • Genetic Testing*
  • Hepatoblastoma / genetics*
  • Humans
  • Infant
  • Intellectual Disability / genetics
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / surgery
  • Liver Neoplasms / genetics*
  • Lymphatic Metastasis
  • Venous Thrombosis / genetics
  • Young Adult