2013
DOI: 10.1002/pbc.24906
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Neuroblastoma in monozygotic twins with distinct presentation pathology and outcome: Is it familial or in utero metastasis

Abstract: To date ten sets of monozygotic twins with neuroblastoma have been reported in the literature. Twin‐to‐twin in utero metastasis have been proposed as the mechanism of tumor development in the second twin; based on similar pathology, presence of metastatic disease, absence of a primary tumor, and/or later presentation in the second twin. Hereditary neuroblastoma has not been described in this context. We propose that primary neuroblastoma can occur in monozygotic twins without twin–twin transmission; due to the… Show more

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Cited by 4 publications
(3 citation statements)
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“…Furthermore, fetoplacental metastasis is considered when monozygotic monochorionic twins have similar tumour pathology, but only one with identifiable primary tumour, presenting spontaneously, or shortly after. 1 , 2 A similar mechanism was postulated for concordance of leukaemia in twins. 8 , 9 Several molecular markers are considered evidence for common clonality and common origin of tumourigenesis.…”
Section: Discussionmentioning
confidence: 69%
See 1 more Smart Citation
“…Furthermore, fetoplacental metastasis is considered when monozygotic monochorionic twins have similar tumour pathology, but only one with identifiable primary tumour, presenting spontaneously, or shortly after. 1 , 2 A similar mechanism was postulated for concordance of leukaemia in twins. 8 , 9 Several molecular markers are considered evidence for common clonality and common origin of tumourigenesis.…”
Section: Discussionmentioning
confidence: 69%
“…Concordant or discordant occurrence of NBL in monozygotic twins has been described in the literature. 1,2 Fetoplacental metastasis has been postulated as a mechanism to account for concordant cases where one twin develops a primary adrenal tumour and the second twin manifests the disease without an identifiable primary site. 1,2 However, those tumours may originate and arise concomitantly due to the same genetic background shared by monozygotic twins, suggesting a predisposition to develop NBL.…”
mentioning
confidence: 99%
“…Therefore, we thought that the tumor of F2 is not metastatic, because the metastatic focus should usually be more invasive. Moreover, these two tumors have completely different Shimada histology ( Table 1 ), and the diagnosis age of F2 and her sister was less than 12 months ( 18 ). As reported, genetic factors predominate in neuroblastoma diagnosed in newborns and infants ( 19 ), so we believed that F2 was a familial neuroblastoma without a primary site.…”
Section: Case Descriptionmentioning
confidence: 99%