4세 소아에서 발생한 후두 Nuclear Protein in Testis Midline Carcinoma 1예
A Case Report of 4-Years Old Patient With Nuclear Protein in Testis Midline Carcinoma of Larynx
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Nuclear protein in testis midline carcinoma (NMC) is an extremely aggressive subtype ofsquamous cell carcinoma characterized by chromosomal rearrangements of the nuclear pro-tein in testis (NUT) gene. NMC predominantly arises in the anatomical midline locations ofthe body, with a high occurrence in the thoracic, head and neck regions. However, NMC re-mains a rarely reported disease, making its inclusion in the initial differential diagnosis chal-lenging. This case involves a 4-year-old boy who presented with a neck mass initially diag-nosed as a poorly differentiated carcinoma originating from the larynx with the cervicalLymph node metastasis. However, further tests confirmed the diagnosis of NUT midline car-cinoma. This case highlights the importance of conducting NUT immunohistochemistry incases of squamous cell carcinoma and undifferentiated carcinoma occurring in the head andneck, as it can provide meaningful insights for diagnosis and treatment decisions.
Abstract
Nuclear protein in testis midline carcinoma (NMC) is an extremely aggressive subtype ofsquamous cell carcinoma characterized by chromosomal rearrangements of the nuclear pro-tein in testis (NUT) gene. NMC predominantly arises in the anatomical midline locations ofthe body, with a high occurrence in the thoracic, head and neck regions. However, NMC re-mains a rarely reported disease, making its inclusion in the initial differential diagnosis chal-lenging. This case involves a 4-year-old boy who presented with a neck mass initially diag-nosed as a poorly differentiated carcinoma originating from the larynx with the cervicalLymph node metastasis. However, further tests confirmed the diagnosis of NUT midline car-cinoma. This case highlights the importance of conducting NUT immunohistochemistry incases of squamous cell carcinoma and undifferentiated carcinoma occurring in the head andneck, as it can provide meaningful insights for diagnosis and treatment decisions.
참고문헌 (15)
- French CA, "The importance of diagnosing NUT midline carcinoma", Head Neck Pathol, 7(1), pp.11~16 (2013)
- Chau NG, "An anatomical site and genetic-based prognostic model for patients with nuclear protein in testis(NUT)midline carcinoma : Analysis of 124 patients", JNCI Cancer Spectr, 4(2), pp.pkz094~ (2019)
- French CA, "Demystified molecular pathology of NUT midline carcinomas", J Clin Pathol, 63(6), pp.492~496 (2010)
- Stelow EB, "NUT rearrangement in undifferentiated carcinomas of the upper aerodigestive tract", Am J Surg Pathol, 32(6), pp.828~834 (2008)
- Lee T, "Prevalence of NUT carcinoma in head and neck : Analysis of 362cases with literature review", Head Neck, 42(5), pp.924~938 (2020)
- Vargas SO, "Upper respiratory tract carcinoma with chromosomal translocation 15;19 : Evidence for a distinct disease entity of young patients with a rapidly fatal course", Cancer, 92(5), pp.1195~1203 (2001)
- Kundra A, "Nuclear protein in testis midline carcinoma of larynx : An underdiagnosed entity", Head Neck, 38(8), pp.E2471~4 (2016)
- Hellquist H, "NUT midline carcinoma of the larynx : An international series and review of the literature", Histopathology, 70(6), pp.861~868 (2017)
- Zhang H, "Successful treatment of a case with NUT midline carcinoma in the larynx and review of the literature", Clin Case Rep, 8(1), pp.176~181 (2019)
- French CA, "NUT carcinoma: Clinicopathologic features, pathogenesis, and treatment", Pathol Int, 68(11), pp.583~595 (2018)
- French CA, "BRD4-NUT fusion oncogene : A novel mechanism in aggressive carcinoma", Cancer Res, 63(2), pp.304~307 (2003)
- Haack H, "Diagnosis of NUT midline carcinoma using a NUTspecific monoclonal antibody", Am J Surg Pathol, 33(7), pp.984~991 (2009)
- Chau NG, "Intensive treatment and survival outcomes in NUT midline carcinoma of the head and neck", Cancer, 122(23), pp.3632~3640 (2016)
- Napolitano M, "NUT midline carcinoma of the head and neck : Current perspectives", Onco Targets Ther, 12, pp.3235~3244 (2019)
- PDQ Pediatric Treatment Editorial Board, "Childhood midline tract carcinoma involving the NUT gene (NUT midline carcinoma)treatment (PDQ®): Health professional version", National Cancer Institute (US), ~ (2002)
