Clinicopathological analysis of 22 Müllerian adenosarcomas and the sequencing of DICER1 mutation.
Adenosarcoma
DICER1 mutation
Genetic screening
Hotspot mutations
Journal
Diagnostic pathology
ISSN: 1746-1596
Titre abrégé: Diagn Pathol
Pays: England
ID NLM: 101251558
Informations de publication
Date de publication:
03 Apr 2024
03 Apr 2024
Historique:
received:
11
10
2023
accepted:
04
03
2024
medline:
4
4
2024
pubmed:
4
4
2024
entrez:
3
4
2024
Statut:
epublish
Résumé
Müllerian adenosarcoma, a rare malignancy, presents diagnostic and therapeutic challenges. In this study, we conducted an analysis of the clinicopathological characteristics of 22 adenosarcomas, with a particular focus on screening for DICER1 hot mutations. The cohort consisted of patients with adenosarcoma who were registered at the West China Second Hospital between the years 2020 and June 2022. Sanger sequencing was employed to screen for somatic Hotspot mutations in the RNase IIIb domain of DICER1 in the 22 adenosarcomas. Only one patient exhibited a DICER1 mutation that was not a DICER1 Hotspot mutation. Among the 22 patients, all underwent total hysterectomy with bilateral salpingo-oophorectomy, and 14 out of these 22 patients received adjuvant treatment. In summary, our study of 22 Müllerian adenosarcomas focused on the clinicopathological features and the presence of DICER1 Hotspot mutations. Although our findings did not reveal any DICER1 mutations in the studied samples, this negative result provides valuable information for the field by narrowing down the genetic landscape of adenosarcomas and highlighting the need for further research into alternative molecular pathways driving this malignancy.
Sections du résumé
BACKGROUND
BACKGROUND
Müllerian adenosarcoma, a rare malignancy, presents diagnostic and therapeutic challenges. In this study, we conducted an analysis of the clinicopathological characteristics of 22 adenosarcomas, with a particular focus on screening for DICER1 hot mutations.
METHODS
METHODS
The cohort consisted of patients with adenosarcoma who were registered at the West China Second Hospital between the years 2020 and June 2022. Sanger sequencing was employed to screen for somatic Hotspot mutations in the RNase IIIb domain of DICER1 in the 22 adenosarcomas.
RESULTS
RESULTS
Only one patient exhibited a DICER1 mutation that was not a DICER1 Hotspot mutation. Among the 22 patients, all underwent total hysterectomy with bilateral salpingo-oophorectomy, and 14 out of these 22 patients received adjuvant treatment.
CONCLUSION
CONCLUSIONS
In summary, our study of 22 Müllerian adenosarcomas focused on the clinicopathological features and the presence of DICER1 Hotspot mutations. Although our findings did not reveal any DICER1 mutations in the studied samples, this negative result provides valuable information for the field by narrowing down the genetic landscape of adenosarcomas and highlighting the need for further research into alternative molecular pathways driving this malignancy.
Identifiants
pubmed: 38570882
doi: 10.1186/s13000-024-01477-2
pii: 10.1186/s13000-024-01477-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
56Subventions
Organisme : Key research and development project of cadre health care in Sichuan Province Research on diagnostic strategy and clinicopathological study of endometrial cancer molecular typing
ID : ZH2023-1701
Organisme : The Clinical Discipline Development Fund of West China Second Hospital of Sichuan University, "Clinical Application Research on the Latest Molecular Typing Pathological Diagnosis Strategy and Scheme of Endometrial Cancer
ID : KS336
Organisme : Sichuan Science and Technology Department Natural Science Foundation "HPV vaccine clinical evaluation system and diagnostic kit development"
ID : 2023NSFSC0539
Organisme : Sichuan Province Science and Technology Support Program
ID : 2022NSFSC0708
Informations de copyright
© 2024. The Author(s).
Références
McCluggage WG. Müllerian adenosarcoma of the female genital tract. Adv Anat Pathol. 2010;17:122–9.
doi: 10.1097/PAP.0b013e3181cfe732
pubmed: 20179434
Gallardo A, Prat J. Müllerian adenosarcoma: a clinicopathologic and immunohistochemical study of 55 cases challenging the existence of adenofibroma. Am J Surg Pathol. 2009;33:278–88.
doi: 10.1097/PAS.0b013e318181a80d
pubmed: 18941402
Clement PB, Scully RE. Müllerian adenosarcoma of the uterus. A clinicopathologic analysis of ten cases of a distinctive type of müllerian mixed tumor. Cancer. 1974;34:1138–49.
doi: 10.1002/1097-0142(197410)34:4<1138::AID-CNCR2820340425>3.0.CO;2-9
pubmed: 4371193
Hong X, Luense LJ, McGinnis LK, Nothnick WB, Christenson LK. Dicer1 is essential for female fertility and normal development of the female reproductive system. Endocrinology. 2008;149:6207–12.
doi: 10.1210/en.2008-0294
pubmed: 18703631
pmcid: 2613048
Otsuka M, et al. Impaired microRNA processing causes corpus luteum insufficiency and infertility in mice. J Clin Invest. 2008;118:1944–54.
doi: 10.1172/JCI33680
pubmed: 18398510
pmcid: 2289794
Björkgren I, Sipilä P. The role of Dicer1 in the male reproductive tract. Asian J Androl. 2015;17:737–41.
doi: 10.4103/1008-682X.155542
pubmed: 25994652
pmcid: 4577582
Mullen MM, Divine LM, Hagemann IS, Babb S, Powell MA. Endometrial adenosarcoma in the setting of a germline DICER1 mutation: a case report. Gynecol Oncol Rep. 2017;20:121–4.
doi: 10.1016/j.gore.2017.04.004
pubmed: 28459098
pmcid: 5397585
Heravi-Moussavi A, et al. Recurrent somatic DICER1 mutations in nonepithelial ovarian cancers. N Engl J Med. 2012;366:234–42.
doi: 10.1056/NEJMoa1102903
pubmed: 22187960
Han LM, Weiel JJ, Longacre TA, Folkins AK. DICER1-associated tumors in the female genital tract: molecular basis, clinicopathologic features, and differential diagnosis. Adv Anat Pathol. 2022;29:297–308.
doi: 10.1097/PAP.0000000000000351
pubmed: 35778792
de Kock L, et al. Significantly greater prevalence of DICER1 alterations in uterine embryonal rhabdomyosarcoma compared to adenosarcoma. Mod Pathol off J U S Can Acad Pathol Inc. 2020;33:1207–19.
Bean GR, Anderson J, Sangoi AR, Krings G, Garg K. DICER1 mutations are frequent in müllerian adenosarcomas and are independent of rhabdomyosarcomatous differentiation. Mod Pathol off J U S Can Acad Pathol Inc. 2019;32:280–9.
Caroleo AM, et al. DICER1 syndrome and cancer predisposition: from a rare pediatric tumor to lifetime risk. Front Oncol. 2020;10:614541.
doi: 10.3389/fonc.2020.614541
pubmed: 33552988
Warren M, et al. Expanding the spectrum of dicer1-associated sarcomas. Mod Pathol off J U S Can Acad Pathol Inc. 2020;33:164–74.
Apellaniz-Ruiz M, McCluggage WG, Foulkes WD. DICER1-associated embryonal rhabdomyosarcoma and adenosarcoma of the gynecologic tract: pathology, molecular genetics, and indications for molecular testing. Genes Chromosomes Cancer. 2021;60:217–33.
doi: 10.1002/gcc.22913
pubmed: 33135284
Nagaraja AK, et al. Deletion of dicer in somatic cells of the female reproductive tract causes sterility. Mol Endocrinol Baltim Md. 2008;22:2336–52.
doi: 10.1210/me.2008-0142
Chen J, et al. Recurrent DICER1 hotspot mutations in endometrial tumours and their impact on microRNA biogenesis. J Pathol. 2015;237:215–25.
doi: 10.1002/path.4569
pubmed: 26033159
Howitt BE, et al. Targeted genomic analysis of Müllerian adenosarcoma. J Pathol. 2015;235:37–49.
doi: 10.1002/path.4442
pubmed: 25231023
Hodgson A, Amemiya Y, Seth A, Djordjevic B, Parra-Herran C. High-grade Müllerian adenosarcoma: genomic and clinicopathologic characterization of a distinct neoplasm with prevalent TP53 pathway alterations and aggressive behavior. Am J Surg Pathol. 2017;41:1513–22.
doi: 10.1097/PAS.0000000000000907
pubmed: 28834809
Piscuoglio S, et al. Uterine adenosarcomas are mesenchymal neoplasms. J Pathol. 2016;238:381–8.
doi: 10.1002/path.4675
pubmed: 26592504
Nathenson MJ, et al. The importance of lymphovascular invasion in uterine adenosarcomas: analysis of clinical, prognostic, and treatment outcomes. Int J Gynecol Cancer off J Int Gynecol Cancer Soc. 2018;28:1297–310.
doi: 10.1097/IGC.0000000000001306
Arend R, et al. Long-term outcome and natural history of uterine adenosarcomas. Gynecol Oncol. 2010;119:305–8.
doi: 10.1016/j.ygyno.2010.07.001
pubmed: 20688363
Nathenson MJ, Conley AP. Prognostic factors for uterine adenosarcoma: a review. Expert Rev Anticancer Ther. 2018;18:1093–100.
doi: 10.1080/14737140.2018.1518136
pubmed: 30169984
Lee Y-J, et al. Feasibility of uterine preservation in the management of early-stage uterine adenosarcomas: a single institute experience. World J Surg Oncol. 2017;15:87.
doi: 10.1186/s12957-017-1137-0
pubmed: 28424089
pmcid: 5395796
Yuan Z, Cao D, Yu M, Shen K, He Y. Uterine and cervical adenosarcoma: a retrospective study of overall oncologic outcomes and fertility preservation in early-stage disease. Oncologist. 2019;24:e870–9.
doi: 10.1634/theoncologist.2018-0791
pubmed: 31127022
pmcid: 6738297
Dondi G, et al. Uterine preservation treatments in sarcomas: oncological problems and reproductive results: a systematic review. Cancers. 2021;13:5808.
doi: 10.3390/cancers13225808
pubmed: 34830960
pmcid: 8616470
Carroll A, et al. Uterine adenosarcoma: an analysis on management, outcomes, and risk factors for recurrence. Gynecol Oncol. 2014;135:455–61.
doi: 10.1016/j.ygyno.2014.10.022
pubmed: 25449308
pmcid: 4430193
Goh C, Lin XH, Chin PS, Lim YK. Uterine preservation in a young patient with adenosarcoma of the uterus - case report and review of literature. Gynecol Oncol Rep. 2018;25:27–9.
doi: 10.1016/j.gore.2018.05.002
pubmed: 29977987
pmcid: 6030025