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An unusual fusion gene EML4-ALK in a patient with congenital mesoblastic nephroma

A. Misove, A. Vicha, M. Zapotocky, J. Malis, J. Balko, T. Nemeckova, J. Szabova, M. Kyncl, D. Novakova-Kodetova, L. Stolova, P. Jencova, P. Broz, L. Krskova

. 2021 ; 60 (12) : 837-840. [pub] 20210822

Language English Country United States

Document type Journal Article, Research Support, Non-U.S. Gov't

Congenital mesoblastic nephroma (CMN), the most common renal tumor of infancy, is a mesenchymal neoplasm histologically classified into classic, cellular, or mixed types. Most cellular CMNs harbor a characteristic ETV6-NTRK3 fusion. Here, we report an unusual congenital mesoblastic nephroma presenting in a newborn boy with a novel EML4-ALK gene fusion revealed by Anchored Multiplex RNA Sequencing Assay. The EML4-ALK gene fusion expands the genetic spectrum implicated in the pathogenesis of congenital mesoblastic nephroma, with yet another example of kinase oncogenic activation through chromosomal rearrangement. The methylation profile of the tumor corresponds with infantile fibrosarcoma showing the biological similarity of these two entities.

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$a Vicha, Ales $u Department of Pediatric Hematology and Oncology, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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$a Zapotocky, Michal $u Department of Pediatric Hematology and Oncology, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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$a Malis, Josef $u Department of Pediatric Hematology and Oncology, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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$a Balko, Jan $u Department of Pathology and Molecular Medicine, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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$a Nemeckova, Tereza $u Department of Pathology and Molecular Medicine, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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$a Szabova, Jana $u Department of Pathology and Molecular Medicine, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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$a Kyncl, Martin $u Department of Radiology, Second Faculty of Medicine, Charles University Prague and Faculty Hospital Motol, Prague, Czech Republic
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