Review
Medicine, General & Internal
Elisa De Paolis, Rosa Maria Paragliola, Paola Concolino
Summary: Sertoli-Leydig Cell Tumors (SLCTs) are rare ovarian neoplasms that primarily affect adolescents and young female adults. The diagnosis and treatment of SLCTs remain challenging due to their rarity and varied presentation. DICER1 gene mutations are common in approximately 60% of SLCTs, especially in moderately or poorly differentiated types.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Obstetrics & Gynecology
Joseph C. C. Lau, W. Glenn McCluggage, Liz Y. P. Yuen, Matthew M. K. Shing, Godfrey C. F. Chan, Felix S. D. Yam, Michael W. Y. Leung, Wai-Fu Ng, Anthony P. Y. Liu
Summary: We present a rare case of a pelvic extraovarian moderately differentiated Sertoli-Leydig cell tumor in a 4-year-old female. The tumor exhibited a DICER1 pathogenic variant that was not present in the germline, ruling out DICER1 syndrome. In addition to reporting this case, we discuss the differential diagnosis, possible histogenesis, and review previously reported cases of extraovarian Sertoli-Leydig cell tumor.
INTERNATIONAL JOURNAL OF GYNECOLOGICAL PATHOLOGY
(2023)
Article
Endocrinology & Metabolism
Aleida Rivera-Hernandez, Monica Madrigal-Gonzalez, Luz Mejia-Carmona, Isis Martinez-Lopez, Maria Guadalupe Perez-Hernandez, Joaquin Bernal-Manjarrez, Sergio Luna-Vidal, Sarahi Reta-Guerrero, Marco Antonio Rodriguez-Florido, Lourdes Balcazar-Hernandez
Summary: This article presents a case of a new pathogenic variant of the DICER1 gene, in a 13-year-old female with non-toxic multinodular goiter and ovarian Sertoli-Leydig cell tumor. Next-generation sequencing revealed a new germline mutation in exon 16 of the DICER1 gene, establishing the diagnosis of DICER1 syndrome.
JOURNAL OF PEDIATRIC ENDOCRINOLOGY & METABOLISM
(2023)
Article
Oncology
William Terry, Erica M. Carlisle, Paige Mallinger, Alexander T. Nelson, David Gordon, Yoav H. Messinger, Amanda Field, Louis P. Dehner, D. Ashley Hill, Kris Ann P. Schultz
Summary: A 2-year-old boy was diagnosed with a rare lung tumor, PPB, and achieved complete response after surgery and chemotherapy. Despite recurrence one year later, the tumor was controlled through surgery and chemotherapy.
PEDIATRIC BLOOD & CANCER
(2021)
Review
Pathology
Ivan A. Gonzalez, Douglas R. Stewart, Kris Ann P. Schultz, Amanda P. Field, D. Ashley Hill, Louis P. Dehner
Summary: DICER1 syndrome is a rare familial tumor predisposition disorder characterized by a heterozygous DICER1 germline mutation. It primarily presents as pleuropulmonary blastoma, with potential for other cystic neoplasms, all sharing specific clinical and histopathologic features.
Article
Obstetrics & Gynecology
Shalon Liu, Alida J. Pokoradi, Donald Soboleski, Timothy Childs, Anita Agrawal
Summary: This case report presents a rare but highly aggressive ovarian Sertoli-Leydig cell tumor in a pediatric patient with a DICER1 mutation and a history of cystic nephroma. The patient underwent surgical staging, adjuvant chemotherapy, and multiple treatments for recurrences, including chemotherapy, whole-abdomen radiation therapy, and surgical debulking. The report adds to the limited evidence on this rare tumor, particularly in the recurrent setting, and emphasizes the importance of cancer diagnosis in this population.
JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY
(2023)
Article
Endocrinology & Metabolism
Gaia Vincenzi, Ilenia Teresa Petralia, Marco Abbate, Giulia Tarantola, Silvia Laura Carla Meroni, Riccardo Maggiore, Gilberto Mari, Maria Grazia Patricelli, Marco Schiavo Lena, Graziano Barera, Maria Cristina Vigone
Summary: We describe a case of a pediatric female patient with Bannayan-Riley-Ruvalcaba syndrome (BRRS) and congenital hypothyroidism (CH) carrying homozygous mutation of the TPO gene. The patient underwent total thyroidectomy at the age of seven years due to the development of multinodular goiter. This case highlights the possible synergic role of coexisting mutation of both TPO and PTEN in the development of multinodular goiter, emphasizing the importance of tailored surveillance program in these patients, especially during childhood.
FRONTIERS IN ENDOCRINOLOGY
(2023)
Article
Medicine, General & Internal
Li-juan Huang, Liang-yan Shi, Jie Duan
Summary: OSLCT is an extremely rare tumor that can present with different endocrine abnormalities, leading to potential misdiagnosis. Menopausal women with elevated serum testosterone should be highly suspected of ovarian tumors after excluding adrenal gland-related diseases.
Article
Veterinary Sciences
Rebecca Schwartz, Nicole J. Sugai, Kristin Eden, Caitlin Castaneda, Matthew Jevit, Terje Raudsepp, Julie T. Cecere
Summary: This is a case report of a 10-year-old Chinese Crested dog with symptoms of vulvar swelling, vaginal discharge, and acyclicity. Histopathologic evaluation revealed abnormal testes and chimerism in blood cells. Surgery was successful in treating the patient.
FRONTIERS IN VETERINARY SCIENCE
(2022)
Article
Pathology
W. Glenn McCluggage, Barbara Rivera, Anne-Sophie Chong, Blaise A. Clarke, Kris Ann P. Schultz, Louis P. Dehner, Nairi Tchrakian, Maria Apellaniz-Ruiz, C. Blake Gilks, Friedrich Kommoss, Colin J. R. Stewart, William D. Foulkes
Summary: In this study, DICER1 molecular testing was performed on 18 cases of well-differentiated SLCT, and all were found to be DICER1 wild-type. Based on the molecular and morphological observations, it is suggested that well-differentiated SLCT is a distinct and unrelated tumor type in the ovarian sex cord-stromal tumor family, separate from the more common moderately/poorly differentiated and retiform SLCTs.
AMERICAN JOURNAL OF SURGICAL PATHOLOGY
(2023)
Article
Multidisciplinary Sciences
Felix K. F. Kommoss, Anne-Sophie Chong, Anne-Laure Chong, Elke Pfaff, David T. W. Jones, Laura S. Hiemcke-Jiwa, Lennart A. Kester, Uta Flucke, Manfred Gessler, Daniel Schrimpf, Felix Sahm, Blaise A. Clarke, Colin J. R. Stewart, Yemin Wang, C. Blake Gilks, Friedrich Kommoss, David G. Huntsman, Ulrich Schueller, Christian Koelsche, W. Glenn McCluggage, Andreas von Deimling, William D. Foulkes
Summary: DICER1 syndrome is associated with a predisposition to multiple tumor types. In this study, the authors identify and characterize 3 molecular subgroups of mesenchymal tumors with DICER1 mutations. These DICER1-associated mesenchymal tumors include well-established clinicopathological tumor entities and can be further classified into low-grade mesenchymal tumor with DICER1 alteration (LGMT DICER1), sarcoma with DICER1 alteration (SARC DICER1), and primary intracranial sarcoma with DICER1 alteration (PIS DICER1). The findings provide insights into the classification of DICER1-associated neoplasms and suggest potential therapeutic approaches for affected patients.
NATURE COMMUNICATIONS
(2023)
Article
Medicine, General & Internal
Suraj Shrestha, Sushan Homagain, Suraj Bhatta, Sansar Babu Tiwari, Rishikesh Rijal, Roshan Aryal, Nisha Sharma, Pooja Paudyal, Neeta Katuwal, Suniti Joshi Rawal
Summary: Pure Sertoli cell tumors are a rare variant of ovarian Sertoli-Leydig cell tumors, with nonspecific clinical and imaging features necessitating histopathological examination for diagnosis. The prognosis is generally excellent, as most cases are detected early and surgical resection is often curative.
CLINICAL CASE REPORTS
(2022)
Review
Pathology
Lucy M. Han, Julianna J. Weiel, Teri A. Longacre, Ann K. Folkins
Summary: DICER1 syndrome is a tumor predisposition syndrome that increases the risk of developing various tumors. Mutations in DICER1 are associated with rare gynecologic tumors and other gynecologic tumor mutations. Genetic counseling should be considered for patients with a personal or family history of DICER1-associated gynecologic tumors.
ADVANCES IN ANATOMIC PATHOLOGY
(2022)
Article
Pathology
Andres M. Acosta, Lynette M. Sholl, Fiona Maclean, Chia-Sui Kao, Thomas M. Ulbright
Summary: This study assessed the clinicopathologic and genomic features of 14 cases of testicular sex cord-stromal tumors. The results showed that CTNNB1 mutations are rare in these tumors, and most of them have genomic alterations similar to testicular sex cord-stromal tumors with pure or predominant spindle cell components.
Article
Medicine, Research & Experimental
Bayan Maraqa, Maxim Al-Ashhab, Nazmi Kamal, Maher Sughayer, Fareed Barakat
Summary: Mixed sex cord-stromal tumors are rare, usually unilateral and stage I at diagnosis. This case report describes a 15-year-old girl initially diagnosed with a juvenile granulosa cell tumor, but a different growth pattern resembling a Sertoli-Leydig cell tumor was found 1 year later. Immunohistochemical staining confirmed the tumors were linked and most likely a gynandroblastoma, emphasizing the importance of considering diverse tumor morphology. Bilateral metachronous involvement of the ovaries is possible, and the grade of the Sertoli-Leydig cell component may affect prognosis.
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH
(2023)