1. The co-occurrence of an ovarian Sertoli-Leydig cell tumor with a thyroid carcinoma is highly suggestive of a DICER1 syndrome
- Author
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Mojgan Devouassoux-Shisheboran, Claire Mauduit, Emeline Durieux, Françoise Descotes, Myriam Decaussin, Serge Guyétant, Laboratoire d'Intégration des Systèmes et des Technologies (LIST), Direction de Recherche Technologique (CEA) (DRT (CEA)), Commissariat à l'énergie atomique et aux énergies alternatives (CEA)-Commissariat à l'énergie atomique et aux énergies alternatives (CEA), Centre de Recherche en Cancérologie de Lyon (UNICANCER/CRCL), Centre Léon Bérard [Lyon]-Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), Laboratoire d'Intégration des Systèmes et des Technologies (LIST (CEA)), and Université de Lyon-Université de Lyon-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)
- Subjects
0301 basic medicine ,Ribonuclease III ,endocrine system ,Adolescent ,endocrine system diseases ,Patients ,Gene Expression ,Observation ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Pleuropulmonary blastoma ,Biology ,medicine.disease_cause ,Germline ,Pathology and Forensic Medicine ,Thyroid carcinoma ,DEAD-box RNA Helicases ,03 medical and health sciences ,Sertoli-Leydig Cell Tumor ,0302 clinical medicine ,Germline mutation ,Catalytic Domain ,medicine ,Humans ,Thyroid Neoplasms ,Child ,Molecular Biology ,DICER1 Syndrome ,Ovarian Neoplasms ,Mutation ,Carcinoma ,Cell Biology ,General Medicine ,Syndrome ,medicine.disease ,3. Good health ,Pedigree ,Pulmonary Blastoma ,MicroRNAs ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cancer research ,Female ,pathology ,abnormalities ,France - Abstract
International audience; The DICER1 gene encodes an endoribonuclease involved in the production of mature microRNAs which regulates gene expression through several mechanisms. Carriers of germline DICER1 mutations are predisposed to a rare cancer syndrome, the DICER1 syndrome. Pleuropulmonary blastoma is the most frequent lesion seen in this syndrome. Thyroid abnormalities are also a common finding, essentially concerning multinodular goiter. However, differentiated thyroid carcinoma is infrequently seen in such pedigrees. In addition to germline DICER1 mutations, specific somatic mutations have been identified in the DICER1 RNase IIIb catalytic domain in several tumor types, including ovarian Sertoli-Leydig cell tumors. We report two cases of differentiated thyroid carcinoma associated with ovarian Sertoli-Leydig cell tumor and with a heterozygous DICER1 gene mutation, occurring in two unrelated young girls without pleuropulmonary blastoma. Both thyroid carcinomas showed an E1813 mutation in exon 25 while the ovarian tumors harboured a somatic mutation in E1705 in exon 24 and a D1709 mutation in exon 25. Our observations confirm that the occurrence of an ovarian Sertoli-Leydig cell tumor with a thyroid carcinoma is highly suggestive of a DICER1 syndrome. We contend that the possibility of a relationship between sporadic thyroid carcinoma in young patients and somatic DICER1 gene mutation needs further investigation
- Published
- 2016