Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Simultaneous Occurrence of Multiple Neoplasms in Children with Cancer Predisposition Syndromes: Collaborating with Abnormal Genes

Version 1 : Received: 30 June 2023 / Approved: 3 July 2023 / Online: 4 July 2023 (08:36:10 CEST)

A peer-reviewed article of this Preprint also exists.

Telman, G.; Strauss, E.; Sosnowska-Sienkiewicz, P.; Halasz, M.; Januszkiewicz-Lewandowska, D. Simultaneous Occurrence of Multiple Neoplasms in Children with Cancer Predisposition Syndromes: Collaborating with Abnormal Genes. Genes 2023, 14, 1670. Telman, G.; Strauss, E.; Sosnowska-Sienkiewicz, P.; Halasz, M.; Januszkiewicz-Lewandowska, D. Simultaneous Occurrence of Multiple Neoplasms in Children with Cancer Predisposition Syndromes: Collaborating with Abnormal Genes. Genes 2023, 14, 1670.

Abstract

The identification of cancer predisposition syndromes (CPSs) plays a crucial role in understanding the etiology of pediatric cancers. CPSs are genetic mutations that increase the risk of developing cancer at an earlier age compared to the risk for the general population. This article aims to provide a comprehensive analysis of three unique cases involving pediatric patients with CPS who were diagnosed with multiple simultaneous or metachronous cancers. The first case involves a child with embryonal rhabdomyosarcoma, nephroblastoma, glioma, and subsequent medulloblastoma. Genetic analysis identified two pathogenic variants in the BRCA2 gene. The second case involves a child with alveolar rhabdomyosarcoma, Xanthogranuloma Juvenile, gliomas, and subsequent JMML/MDS/MPS. A pathogenic variant in the NF1 gene was identified. The third case involves a child with pleuropulmonary blastoma and pediatric cystic nephroma/nefroblastoma in whom a pathogenic variant in the DICER1 gene was identified. Multiple simultaneous and metachronous cancers in pediatric patients with CPSs are a rare but significant phenomenon. Comprehensive analysis and genetic testing play crucial roles in understanding the underlying mechanisms and guiding treatment strategies for these unique cases. Early detection and targeted interventions are crucial for improving outcomes in these individuals.

Keywords

cancer predisposition syndromes; genetic abnormalities; neoplasms; simultaneous occurrence; pediatric cancers; personalized treatment; tumor suppressor genes

Subject

Medicine and Pharmacology, Oncology and Oncogenics

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