Astrocytoma and B-cell lymphoma development in a man with a p53 germline mutation

Jpn J Clin Oncol. 1998 Oct;28(10):631-7. doi: 10.1093/jjco/28.10.631.

Abstract

We report a case with a germline mutation of the p53 gene develpoing both a non-Hodgkin's lymphoma and an astrocytoma. The astrocytoma could be cured by two operations and combined chemotherapy but 33 months after the onset of the disease, he suffered from a diffuse, large cell centroblastic malignant lymphoma of B-cell lineage. In spite of clear rearranged fragments observed with IgH and c-MYC gene probes, we could not diagnose a Burkitt's lymphoma morphologically. The malignant lymphoma was chemoresistant and the patient died of multi-organ failure. He was confirmed to have a germline mutation of the p53 gene by analysis of c-DNA from peripheral lymphocytes and loss of heterozygosity (LOH) of p53 was evident in the lymphoma. The results were suggestive of the Li-Fraumeni syndrome (LFS), a rare autosomal dominantly inherited syndrome with a germline mutation of p53 gene and diverse malignancies, but this could not be confirmed in the present case. Alternatively, a de novo mutation could have been involved.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Neoplasms / genetics*
  • Abdominal Neoplasms / pathology
  • Adult
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Astrocytoma / drug therapy
  • Astrocytoma / genetics*
  • Astrocytoma / pathology
  • Brain Neoplasms / drug therapy
  • Brain Neoplasms / genetics*
  • Brain Neoplasms / pathology
  • Genes, p53 / genetics*
  • Germ-Line Mutation*
  • Humans
  • Li-Fraumeni Syndrome / genetics*
  • Loss of Heterozygosity
  • Lymphoma, B-Cell / genetics*
  • Lymphoma, B-Cell / pathology
  • Male