Introduction to Chondromesenchymal Hamartoma - Poorly Differentiated Thyroid
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However, the clinical phenotype of DICER1 pathogenic variation is not simply confined to a group of sarcomas arising in a number of extrapulmonary sites, but also non-sarcomas such as pituitary blastoma, pineoblastoma, ciliary body medulloepithelioma (CBME), chondromesenchymal hamartoma, multinodular goiter harboring papillary thyroid carcinoma, pediatric poorly differentiated thyroid carcinoma, multicystic hepatic lesions and cystic nephroma (CN).
DICER1 germline (associated with the inherited DICER1 syndrome) or somatic mutations have been linked to tumorigenesis in histogenetically diverse benign and malignant neoplasms in different organs including pleuropulmonary blastoma, cystic nephroma, embryonal rhabdomyosarcoma, nasal chondromesenchymal hamartoma, poorly differentiated thyroid carcinoma, thyroblastoma, intracranial sarcoma and gonadal Sertoli-Leydig cell tumors in addition to others.
The detection of the germline mutation in DICER1 provided the opportunity to identify and continue to recognize a number seemingly unrelated extrapulmonary neoplasms: Sertoli-Leydig cell tumor, gynandroblastoma, embryonal rhabdomyosarcomas of the cervix and other sites, multinodular goiter, differentiated and poorly differentiated thyroid carcinoma, cervical-thyroid teratoma, cystic nephroma-anaplastic sarcoma of kidney, nasal chondromesenchymal hamartoma, intestinal juvenile-like hamartomatous polyp, ciliary body medulloepithelioma, pituitary blastoma, pineoblastoma, primary central nervous system sarcoma, embryonal tumor with multilayered rosettes-like cerebellar tumor, PPB-like peritoneal sarcoma, DICER1-associated presacral malignant teratoid neoplasm and other non-neoplastic associations.