Germ Cell Tumor
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The Homeobox Intestinal Differentiation Factor CDX2 Is Selectively Expressed in Gastrointestinal Adenocarcinomas
Modern Pathology (2004) 17, 1392–1399 & 2004 USCAP, Inc All rights reserved 0893-3952/04 $30.00 www.modernpathology.org The homeobox intestinal differentiation factor CDX2 is selectively expressed in gastrointestinal adenocarcinomas Vassil Kaimaktchiev1, Luigi Terracciano2, Luigi Tornillo2, Hanspeter Spichtin3, Dimitra Stoios2, Marcel Bundi2, Veselina Korcheva1, Martina Mirlacher2, Massimo Loda4, Guido Sauter2 and Christopher L Corless1 1OHSU Cancer Institute and Department of Pathology, Oregon Health & Science University, Portland, OR, USA; 2Institute of Pathology, University Hospital Basel, Basel, Switzerland; 3Institute of Clinical Pathology, Basel, Switzerland and 4Department of Pathology, Brigham & Women’s Hospital, Boston, MA, USA CDX2 is a homeobox domain-containing transcription factor that is important in the development and differentiation of the intestines. Based on recent studies, CDX2 expression is immunohistochemically detectable in normal colonic enterocytes and is retained in most, but not all, colorectal adenocarcinomas. CDX2 expression has also been documented in a subset of adenocarcinomas arising in the stomach, esophagus and ovary. In this study, we examined CDX2 expression in a series of large tissue microarrays representing 4652 samples of normal and neoplastic tissues. Strong nuclear staining for CDX2 was observed in 97.9% of 140 colonic adenomas, 85.7% of 1109 colonic adenocarcinomas overall and 81.8% of 55 mucinous variants. There was no significant difference in the staining of well-differentiated (96%) and moderately differentiated tumors (90.8%, P ¼ 0.18), but poorly differentiated tumors showed reduced overall expression (56.0%, Po0.000001). Correspondingly, there was an inverse correlation between CDX2 expression and tumor stage, with a significant decrease in staining between pT2 and pT3 tumors (95.8 vs 89.0%, Po0.012), and between pT3 and pT4 tumors (89.0 vs 79.8%, Po0.016). -
What You Should Know About Familial Adenomatous Polyposis (FAP)
What you should know about Familial Adenomatous Polyposis (FAP) FAP is a very rare condition that accounts for about 1% of new cases of colorectal cancer. People with FAP typically develop hundreds to thousands of polyps (adenomas) in their colon and rectum by age 30-40. Polyps may also develop in the stomach and small intestine. Individuals with FAP can develop non-cancerous cysts on the skin (epidermoid cysts), especially on the scalp. Besides having an increased risk for colon polyps and cysts, individuals with FAP are also more likely to develop sebaceous cysts, osetomas (benign bone tumors) of the jaw, impacted teeth, extra teeth, CHRPE (multiple areas of pigmentation in the retina in the eye) and desmoid disease. Some individuals have milder form of FAP, called attenuated FAP (AFAP), and develop an average of 20 polyps at a later age. The risk for cancer associated with FAP If left untreated, the polyps in the colon and rectum will develop in to cancer, usually before age 50. Individuals with FAP also have an increased risk for stomach cancer, papillary thyroid cancer, periampullary carcinoma, hepatoblastoma (in childhood), and brain tumors. The risks to family members FAP is caused by mutations in the Adenomatous Polyposis Coli (APC) gene. Approximately 1/3 of people with FAP do not have family history of the disease, and thus have a new mutation. FAP is inherited in a dominant fashion. Children of a person with an APC mutation have a 50% risk to inherit the mutation. Brothers, sisters, and parents of individuals with FAP should also be checked to see if they have an APC mutation. -
Pediatric Suprasellar Germ Cell Tumors: a Clinical and Radiographic Review of Solitary Vs
cancers Article Pediatric Suprasellar Germ Cell Tumors: A Clinical and Radiographic Review of Solitary vs. Bifocal Tumors and Its Therapeutic Implications Darian R. Esfahani 1 , Tord Alden 1,2, Arthur DiPatri 1,2, Guifa Xi 1,2, Stewart Goldman 3 and Tadanori Tomita 1,2,* 1 Division of Pediatric Neurosurgery, Ann & Robert H. Lurie Children’s Hospital, Chicago, IL 60611, USA; [email protected] (D.R.E.); [email protected] (T.A.); [email protected] (A.D.); [email protected] (G.X.) 2 Department of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA 3 Division of Hematology, Oncology, Neuro-Oncology & Stem Cell Transplantation, Ann & Robert H. Lurie Children’s Hospital, Chicago, IL 60611, USA; [email protected] * Correspondence: [email protected]; Tel.: +1-312-2274220 Received: 7 August 2020; Accepted: 10 September 2020; Published: 14 September 2020 Simple Summary: Bifocal suprasellar germ cell tumors are a unique type of an uncommon brain tumor in children. Compared to other germ cell tumors in the brain, bifocal tumors are poorly understood and have a bad prognosis. In this paper we explore features that predict which children will have good outcomes and which will not. This is important for the research community because it can help physicians decide what type of radiation treatment is best to treat these children. Our study shows that bifocal tumors have a unique appearance on magnetic resonance imaging (MRI) compared to other germ cell tumors. Children with bifocal tumors are more likely to be male, have tumors that come back sooner, and cause death sooner. -
Diet, Nutrition, Physical Activity and Stomach Cancer
Analysing research on cancer prevention and survival Diet, nutrition, physical activity and stomach cancer 2016 Revised 2018 Contents World Cancer Research Fund Network 3 1. Summary of Panel judgements 9 2. Trends, incidence and survival 10 3. Pathogenesis 11 4. Other established causes 14 5. Interpretation of the evidence 14 5.1 General 14 5.2 Specific 15 6. Methodology 15 6.1 Mechanistic evidence 16 7. Evidence and judgements 16 7.1 Low fruit intake 16 7.2 Citrus fruit 19 7.3 Foods preserved by salting 21 7.3.1 Salt-preserved vegetables 21 7.3.2 Salt-preserved fish 23 7.3.3 Salt-preserved foods 24 7.3.4 Foods preserved by salting: Summary 26 7.4 Processed meat 27 7.5 Alcoholic drinks 30 7.6 Grilled (broiled) and barbecued (charboiled) animal foods 35 7.7 Body fatness 36 7.8 Other 41 8. Comparison Report 42 9. Conclusions 42 Acknowledgements 44 Abbreviations 46 Glossary 47 References 52 Appendix: Criteria for grading evidence for cancer prevention 57 Our Cancer Prevention Recommendations 61 WORLD CANCER RESEARCH FUND NETWORK OUR VISION We want to live in a world where no one develops a preventable cancer. OUR MISSION We champion the latest and most authoritative scientific research from around the world on cancer prevention and survival through diet, weight and physical activity, so that we can help people make informed choices to reduce their cancer risk. As a network, we influence policy at the highest level and are trusted advisors to governments and to other official bodies from around the world. -
Coping with Stomach Cancer
COPING WITH STOMACH CANCER 800-813-HOPE (4673) [email protected] www.cancercare.org A diagnosis of stomach cancer can leave you and your loved ones feeling uncertain, anxious and overwhelmed. There are important treatment decisions to make, emotional concerns to manage, and insurance and financial paperwork to organize, among other practical concerns. It is helpful to keep in mind that there are many sources of information and support for people coping with stomach cancer. By learning about this diagnosis and its treatment options, communicating with your health care team, and surrounding yourself with a support network, you will be better able to manage your stomach cancer and experience a better quality of life. UNDERSTANDING YOUR THE IMPORTANCE OF DIAGNOSIS AND COMMUNICATING WITH YOUR TREATMENT PLAN HEALTH CARE TEAM Stomach cancer occurs when the Because stomach cancer is a complex cells found in the stomach begin to condition with complex treatment change and grow uncontrollably, options, good communication between forming a tumor (also called you and your health care team is key. a nodule), which can be either Your oncologist, nurses, and other cancerous or benign. The main members of your health care team types of stomach cancer are work together to treat your stomach adenocarcinoma, lymphoma, cancer. Since medical appointments carcinoid tumor and gastrointestinal are the main time you will interact stromal tumor (GIST). with your team, being as prepared as possible for these visits is important. There are a wide range of It will help ensure that you understand treatments for stomach cancer, your diagnosis and treatment, get including surgery, targeted therapy, answers to your questions, and feel chemotherapy and radiation therapy. -
Male Genital Cancers in the US in 2015 Frequency of Types
5/22/2015 Male Genital Cancers in Germ Cell Tumors of the Testis the US in 2015 Pathology, Immunohistochemistry, and the Often Confusing Estimated Number Site Appearance of Their Metastases of Cases Prostate 220,800 Charles Zaloudek, MD Bladder 56,320 Department of Pathology Kidney 38,270 UCSF Testis 8430 Germ Cell Tumors of the Testis Frequency of Types Intratubular Germ Cell Neoplasia, Unclassified (IGCNU) Intratubular Germ Cell Neoplasia, Specific Types • Seminoma is the Tumor Type % Seminoma most common pure type Spermatocytic Seminoma Mixed GCT 78 Embryonal Carcinoma • Mixed germ cell Embryonal Yolk Sac Tumor tumor is the most 16 Choriocarcinoma common CA Other Trophoblastic Tumors nonseminomatous Teratoma 5 Teratoma germ cell tumor Yolk Sac 2 Mixed Germ Cell Tumor Tumor Calgary, Canada Mod Pathol 2013; 26: 579-586 1 5/22/2015 Intratubular Germ Cell Neoplasia (Carcinoma in Situ) • Precursor of most invasive germ cell tumors • Most likely in high risk patients; found in <1% of the normal population • Thought to be established in the fetus at the time the gonads develop • Switched on at puberty • Lacks 12p abnormalities found in invasive tumors • 50% develop invasive germ cell tumor by 5 years, 70% by 7 years Advances in Anatomic Pathology 2015; 22 (3): 202-212 I had a couple of previous papers returned from American journals, which for a long time did not appreciate the existence of a CIS pattern. However, even there, CIS is now officially recognized…. 2002 2 5/22/2015 The Background IGCNU IGCNU – OCT4 3 5/22/2015 IGCNU – SALL4 IGCNU – CD117 IGCNU – Pagetoid Spread to the Rete Testis Treatment of IGCNU • Unilateral: Orchiectomy • Bilateral: Low dose radiation – Prevents development of invasive germ cell tumor – Causes sterility 4 5/22/2015 Staging Testicular Tumors Clinical Stage I • Limited to testis and epididymis. -
What Is a Gastrointestinal Carcinoid Tumor?
cancer.org | 1.800.227.2345 About Gastrointestinal Carcinoid Tumors Overview and Types If you have been diagnosed with a gastrointestinal carcinoid tumor or are worried about it, you likely have a lot of questions. Learning some basics is a good place to start. ● What Is a Gastrointestinal Carcinoid Tumor? Research and Statistics See the latest estimates for new cases of gastrointestinal carcinoid tumor in the US and what research is currently being done. ● Key Statistics About Gastrointestinal Carcinoid Tumors ● What’s New in Gastrointestinal Carcinoid Tumor Research? What Is a Gastrointestinal Carcinoid Tumor? Gastrointestinal carcinoid tumors are a type of cancer that forms in the lining of the gastrointestinal (GI) tract. Cancer starts when cells begin to grow out of control. To learn more about what cancer is and how it can grow and spread, see What Is Cancer?1 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 To understand gastrointestinal carcinoid tumors, it helps to know about the gastrointestinal system, as well as the neuroendocrine system. The gastrointestinal system The gastrointestinal (GI) system, also known as the digestive system, processes food for energy and rids the body of solid waste. After food is chewed and swallowed, it enters the esophagus. This tube carries food through the neck and chest to the stomach. The esophagus joins the stomachjust beneath the diaphragm (the breathing muscle under the lungs). The stomach is a sac that holds food and begins the digestive process by secreting gastric juice. The food and gastric juices are mixed into a thick fluid, which then empties into the small intestine. -
Familial Occurrence of Carcinoid Tumors and Association with Other Malignant Neoplasms1
Vol. 8, 715–719, August 1999 Cancer Epidemiology, Biomarkers & Prevention 715 Familial Occurrence of Carcinoid Tumors and Association with Other Malignant Neoplasms1 Dusica Babovic-Vuksanovic, Costas L. Constantinou, tomies (3). The most frequent sites for carcinoid tumors are the Joseph Rubin, Charles M. Rowland, Daniel J. Schaid, gastrointestinal tract (73–85%) and the bronchopulmonary sys- and Pamela S. Karnes2 tem (10–28.7%). Carcinoids are occasionally found in the Departments of Medical Genetics [D. B-V., P. S. K.] and Medical Oncology larynx, thymus, kidney, ovary, prostate, and skin (4, 5). Ade- [C. L. C., J. R.] and Section of Biostatistics [C. M. R., D. J. S.], Mayo Clinic nocarcinomas and carcinoids are the most common malignan- and Mayo Foundation, Rochester, Minnesota 55905 cies in the small intestine in adults (6, 7). In children, they rank second behind lymphoma among alimentary tract malignancies (8). Carcinoids appear to have increased in incidence during the Abstract past 20 years (5). Carcinoid tumors are generally thought to be sporadic, Carcinoid tumors were originally thought to possess a very except for a small proportion that occur as a part of low metastatic potential. In recent years, their natural history multiple endocrine neoplasia syndromes. Data regarding and malignant potential have become better understood (9). In the familial occurrence of carcinoid as well as its ;40% of patients, metastases are already evident at the time of potential association with other neoplasms are limited. A diagnosis. The overall 5-year survival rate of all carcinoid chart review was conducted on patients indexed for tumors, regardless of site, is ;50% (5). -
Testicular Mixed Germ Cell Tumors
Modern Pathology (2009) 22, 1066–1074 & 2009 USCAP, Inc All rights reserved 0893-3952/09 $32.00 www.modernpathology.org Testicular mixed germ cell tumors: a morphological and immunohistochemical study using stem cell markers, OCT3/4, SOX2 and GDF3, with emphasis on morphologically difficult-to-classify areas Anuradha Gopalan1, Deepti Dhall1, Semra Olgac1, Samson W Fine1, James E Korkola2, Jane Houldsworth2, Raju S Chaganti2, George J Bosl3, Victor E Reuter1 and Satish K Tickoo1 1Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA; 2Cell Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA and 3Department of Internal Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA Stem cell markers, OCT3/4, and more recently SOX2 and growth differentiation factor 3 (GDF3), have been reported to be expressed variably in germ cell tumors. We investigated the immunohistochemical expression of these markers in different testicular germ cell tumors, and their utility in the differential diagnosis of morphologically difficult-to-classify components of these tumors. A total of 50 mixed testicular germ cell tumors, 43 also containing difficult-to-classify areas, were studied. In these areas, multiple morphological parameters were noted, and high-grade nuclear details similar to typical embryonal carcinoma were considered ‘embryonal carcinoma-like high-grade’. Immunohistochemical staining for OCT3/4, c-kit, CD30, SOX2, and GDF3 was performed and graded in each component as 0, negative; 1 þ , 1–25%; 2 þ , 26–50%; and 3 þ , 450% positive staining cells. The different components identified in these tumors were seminoma (8), embryonal carcinoma (50), yolk sac tumor (40), teratoma (40), choriocarcinoma (3) and intra-tubular germ cell neoplasia, unclassified (35). -
(HDGC) the Risk for Cancer Associated with Hereditary Diffuse Gastr
What you should know about Hereditary Diffuse Gastric Cancer (HDGC) HDGC accounts for less than 1-3% of all gastric cancer. Diffuse Gastric cancer is a specific type of invasive stomach cancer that thickens the wall of the stomach wall without forming a distinct tumor. Diffuse gastric cancer is also called signet ring carcinoma or isolated cell-type carcinoma. Women with HDGC have a significantly increased risk to develop lobular breast cancer. Individuals with HDGC also have an increased risk for certain other types of breast cancer, as well as colon cancer and pancreatic cancer. The risk for cancer associated with Hereditary Diffuse Gastric Cancer (HDGC) It is estimated that about 80% (4 out of 5) individuals who have HDGC will develop gastric cancer. The majority of patients develop diffuse gastric cancer by the age of 40. Women with HDGC have a 40-50% lifetime risk of developing lobular breast cancer. The average age for breast cancer diagnosis in women with HDGC is 53. The risks to family members HDGC is diagnosed based on a patient’s personal and family history of cancer. About 30-50% (1/3 to ½) of people with HDGC have a mutation in the CDH1 gene that can be identified by blood testing. In some hereditary families a genetic mutation may not be detected by the current technology, therefore close relatives will still need to be treated as high risk. Any child, brother, sister, or parent of an individual who has CDH1 mutation has a 50% chance of also having the mutation. Managing the Risk Once an individual has been diagnosed with HDGC, endoscopies should be done annually, usually after age 16. -
About Testicular Cancer Overview and Types
cancer.org | 1.800.227.2345 About Testicular Cancer Overview and Types If you have been diagnosed with testicular cancer or are worried about it, you likely have a lot of questions. Learning some basics is a good place to start. ● What Is Testicular Cancer? Research and Statistics See the latest estimates for new cases of testicular cancer and deaths in the US and what research is currently being done. ● Key Statistics for Testicular Cancer ● What’s New in Testicular Cancer Research? What Is Testicular Cancer? Cancer starts when cells begin to grow out of control. Cells in nearly any part of the body can become cancer and spread to other parts of the body. To learn more about how cancers start and spread, see What Is Cancer?1 Cancer that starts in the testicles is called testicular cancer. To understand this cancer, it helps to know about the normal structure and function of the testicles. 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 What are testicles? Testicles (also called testes; a single testicle is called a testis) are part of the male reproductive system. The 2 organs are each normally a little smaller than a golf ball in adult males. They're held within a sac of skin called the scrotum. The scrotum hangs under the base of the penis. Testicles have 2 main functions: ● They make male hormones (androgens) such as testosterone. ● They make sperm, the male cells needed to fertilize a female egg cell to start a pregnancy. Sperm cells are made in long, thread-like tubes inside the testicles called seminiferous tubules. -
Stomach Cancer Fact Sheet
FACT SHEET Media: Krysta Pellegrino (650) 467-6800 Investor: Diane Schrick (650) 225-1599 Advocacy: Sonali Padhi (650) 467-0842 Facts About Stomach (Gastric) Cancer Facts and Figures x Stomach cancer is the uncontrolled growth of cancerous cells that originate in stomach tissue. x The American Cancer Society estimates 21,000 Americans will be diagnosed and more than 10,500 will die from the disease in 2010.1 x Currently, there are more than 64,000 people living with stomach cancer in the United States.2 Types of Stomach Cancer x The most common type of stomach cancer, called adenocarcinoma, originates in the innermost lining of the stomach and accounts for more than 90 percent of tumors.3 x Adenocarcinoma of the stomach or the area where the stomach and esophagus join (gastroesophageal junction) is further divided into two categories, based on the genetic makeup of the tumor: human epidermal growth factor receptor 2 (HER2)-positive and HER2-negative VRPHWLPHVUHIHUUHGWRDV³+(5-normaO´ . x In advanced (metastatic) stomach cancer, the cancer has moved beyond the wall of the stomach and into nearby organs. This makes the cancer harder to treat and results in a poorer prognosis.3 x According to one large study, 22 percent of adenocarcinoma stomach cancers are HER2-positive.4 x People diagnosed with stomach cancer can have their tumor tested to determine its HER2 status.4 o There are distinct differences in HER2 testing for gastric and breast cancers that may impact a HER2-positive or HER2-negative diagnosis. Risk Factors and Symptoms x Risk