Clinical and genetic changes in a case of a Cushing's carcinoma.

Abstract:

:A 30-year-old presented in 1984 with a clinically nonfunctional tumour which subsequently developed into a metastatic corticotrophinoma from which he died despite surgery in 1984, 1986 and 1991 and external radiotherapy in 1986. Molecular genetic analysis of tumour and metastatic tissue revealed loss of heterozygosity at loci on the autosomes 1p, 3p, 10q26, 11q13 and 22q12. Tissue taken at surgery in 1986 also revealed positive cytoplasmic immunostaining for p53 protein. No such staining was evident in tissue taken at first surgery in 1984. Further analysis of invasive pituitary adenomas may reveal loci associated with such behaviour, enabling better prediction of subsequent clinical outcome than is possible using standard histological techniques, and delivery of early, aggressive treatment to those tumours which show molecular markers associated with a poor prognosis.

journal_name

Clin Endocrinol (Oxf)

journal_title

Clinical endocrinology

authors

Bates AS,Buckley N,Boggild MD,Bicknell EJ,Perrett CW,Broome JC,Clayton RN

doi

10.1111/j.1365-2265.1995.tb02697.x

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

663-70; discussion 671-2

issue

6

eissn

0300-0664

issn

1365-2265

journal_volume

42

pub_type

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