High-resolution studies in patients with aniridia-Wilms tumor association,Wilms tumor or related congenital abnormalities |
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Authors: | Y. Nakagome T. Ise M. Sakurai T. Nakajo E. Okamoto T. Takano Y. Nakahori Y. Tsuchida N. Nagahara Y. Takada Y. Ohsawa S. Sawaguchi A. Toyosaka N. Kobayashi E. Matsunaga S. Saito |
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Affiliation: | (1) Department of Human Genetics YATA 1, 111, National Institute of Genetics, 411 Mishima, Shizuoka-ken, Japan;(2) Department of pediatrics, National Cancer Center Hospital, Tokyo;(3) Department of Pediatrics, Mie University, School of Medicine, Tsu;(4) Department of Surgery, National Children's Hospital, Tokyo;(5) Department of Surgery, Hyogo College of Medicine, Hyogo;(6) Department of Human Genetics, Tsukuba University, Ibaraki-ken;(7) Division of Genetics, Shizuoka Children's Hospital, Shizuoka;(8) Department of Pediatric Surgery, University of Tokyo, School of Medicine, Tokyo;(9) Department of Surgery, Osaka Children's Medical Center, Osaka;(10) Department of Pediatric Surgery, Kure National Hospital, Kure;(11) Department of Pediatric Surgery, Niigata University, School of Medicine, Niigata;(12) Department of Pediatric Surgery, Tsukuba University, Ibaraki-ken;(13) Department of Pediatrics, University of Tokyo, School of Medicine, Tokyo |
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Abstract: | Summary We attempted to determine wheter all cases of AWTA (anirida-Wilms tumor association) or any of the following groups of patients show 11p deletion: cases of Wilms tumor with congenital abnormalities other than aniridia, those without any congenital abnormalities, tumor itself in cases of Wilsm tumor without constitutional 11p deletion and cases of aniridia or hemihypertrophy without Wilms tumor. We studied a total of 29 index patients including five cases of AWTA, four cases of Wilms tumor with various congenital abnormalities, 16 cases of Wilms tumor without other abnormalities, three cases of aniridia in one of which Wilms tumor developed later and a case of hemihypertrophy.In all five cases of AWTA and in a case of aniridia who later developed Wilms tumor, 11p deletion involving the p13 band was detected. The mother of the latter also showed an identical 11p deletion. The common segment of deletion was the middle part of the p13. Two possible hypotheses on the mechanism through which Wilms tumor might develop were evaluated, based on the distribution of break points. All other cases, including five with tumor culture, showed a normal karyotype. |
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