Choriocarcinoma และ Klinefelter Syndrome
Keywords:
Klinefelter syndrome, ChoriocarcinomaAbstract
Abstract: A 13-year-old boy presented with diffuse metastatic pure choriocarcinoma at central nervous system, lung and skin nodules. No primary testicular tumor was found. The patient's bone marrow cell karyotype was 47,XXY which is consistent with Klinefelter syndrome. The patient was treated with combination chemotherapy and responded well. Pure choriocarcinoma, although rare as primary germ cell tumor, can be found about 15% of extragonadal germ cell tumor and 30% of germ cell tumors in Klinefelter syndrome (KS). The literature review confirms the association of germ cell tumors of nonseminomatous subtype and young median age group KS patient. The finding of extragonadal germ cell tumors in KS patient is also discussed.
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Lahman MF, Kim K, Koo B-C, Mediastinal teratoma associated with Klinefelter's syndrome. Arch Pathol Lab Med 1986;110:1067-71.
Lee MW, Stephens RL. Klinefelter's syndrome and extragonadal germ cell tumors. Cancer 1987;60:1053-5.
Nicholas CR, Heerema NA, Palmer C, et al. Klinefelter's syndrome associated with mediastinal germ cell neoplasms. J Clin Oncol 19875:1290-4.
Hasle H, Jacobsen BB, Asschenfeldt P, Andersen K. Mediastinal germ cell tumour associated with Klinefelter syndrome. A report of case and review of the literature. Eur J Pediatr 1992;151:735-9.
Joos H, Frick J, Wessely K, et al. Mediastinal tumor and Klinefelter's syndrome. Eur Urol 1994;26:344-6.
Attard-Montalto SP, Schuller I, Lastowska MA, Gibbons B, Kingston JE, Eden OB. Non-Hodgkin's lymphoma and Kinefelter syndrome. Pediatr Hematol Oncol 1994;11:197-200.
Bruanstein GD, Vaitukaitis JL, Carbone PP et al. Ectopic production of human chorionic gonadotropin by neoplasm. Ann Intern Med 1973;78:39-45.
Wurzel J, Brooks J. Primary gastric choriocarcinoma: Immunohistochemistry, postpartum documentation and hormonal effect in postmenopausal female. Cancer 1981.48:2756-61.
Bagshawe KD. Germ cell tumor: Introduction and epidemiology. Clin Oncol 198332:3-15.
Oki S, Nakao K, Kuno S, Imura H. A case of Klinefelter's syndrome associated with hypothalamic-pituitary dysfunction caused by an intracranial germ cell tumor 1987,34:145-51.
Prall JA, McGavran L, Greffe BS, Partington MD. Intracranial malignant germ cell tumor and the Klinefelter syndrome. Case report and review of the literature. Pediatr Neurosurg 1995;23:219-24.
Logothetis CJ, Samuel ML, Selig DE, et al. Chemotherapy of extragonadal germ cell tumor. J Clin Oncol 1985,3.316-25.
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