Head and neck INI1-deficient carcinoma without primary: a case report

Bibliographic Details
Title: Head and neck INI1-deficient carcinoma without primary: a case report
Authors: Antoine Dubray-Vautrin, Wahib Ghanem, Laurence Bozec, Julie Gonin, Olivier Choussy
Source: Journal of Medical Case Reports, Vol 17, Iss 1, Pp 1-5 (2023)
Publisher Information: BMC, 2023.
Publication Year: 2023
Collection: LCC:Medicine
Subject Terms: SMARCB1 protein, Case report, Carcinoma, Unknown primary, Medicine
More Details: Abstract Background SMARCB1, also known as INI1, is a member of a large protein complex involved in chromatin remodeling and thus the regulation of gene expression. It is located on chromosome 22q11.2. SMARCB1 tumors have been found in various locations, including the sinonasal region, gastrointestinal tract, central nervous system (in atypical teratoid and rhabdoid tumors), and perirenal region (in malignant rhabdoid tumors) in both adults and children. Case presentation We describe here the first case in the literature of an INI1-deficient neck carcinoma without a primary tumor managed with surgical therapy and neck dissection in a young Caucasian woman of 29 years old, followed by chemotherapy before radiotherapy, with regional control after 18 months of follow-up. Histologic analysis showed an undifferentiated carcinoma without glandular or epidermoid differentiation. Biomolecular analysis of the tumor revealed a homozygous deletion of the SMARCB1 gene on RNA sequencing. Conclusion Research of INI1 deletion should be performed for undifferentiated carcinoma of young patients because of possibilities of molecular therapies such as autophagy inhibitors or proteasome inhibitors could be used in clinical trials.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1752-1947
Relation: https://doaj.org/toc/1752-1947
DOI: 10.1186/s13256-023-04214-3
Access URL: https://doaj.org/article/016003b7a5904e8087eca3987e02c803
Accession Number: edsdoj.016003b7a5904e8087eca3987e02c803
Database: Directory of Open Access Journals
Full text is not displayed to guests.
More Details
ISSN:17521947
DOI:10.1186/s13256-023-04214-3
Published in:Journal of Medical Case Reports
Language:English