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Bilateral gonadoblastoma with dysgerminoma and pilocytic astrocytoma with WT1 GT‐IVS9 mutation: A 46 XY phenotypic female with Frasier syndrome
Authors:Vivek Subbiah MD  Vicki Huff PhD  Johannes E.A. Wolff MD  PhD  Leena Ketonen MD  PhD  Frederick F. Lang Jr MD  John Stewart MD  Lauren Langford MD  Cynthia E. Herzog MD
Affiliation:1. Department of Pediatrics, University of Texas M.D. Anderson Cancer Center, Houston, Texas;2. Department of Genetics, University of Texas M.D. Anderson Cancer Center, Houston, Texas;3. Department of Neuroradiology, University of Texas M.D. Anderson Cancer Center, Houston, Texas;4. Department of Neurosurgery, University of Texas M.D. Anderson Cancer Center, Houston, Texas;5. Department of Pathology, University of Texas M.D. Anderson Cancer Center, Houston, Texas
Abstract:Frasier syndrome is characterized by a 46 XY disorder of sex development, nephropathy, and increased risk for gonadoblastoma due to Wilms tumor 1(WT1) mutation in the donor splice site of intron‐9, resulting in the splice form +KTS. Germ cell tumors and gonadoblastomas have been reported previously in Frasier syndrome. We present the clinical, radiological, and genetic (WT1 mutation analysis) of a 46 XY phenotypic female with Frasier syndrome with bilateral gonadoblastoma with dysgerminoma who developed pilocytic astrocytoma. Pediatr Blood Cancer 2009; 53:1349–1351. © 2009 Wiley‐Liss, Inc.
Keywords:dysgerminoma  Frasier syndrome  gonadoblasoma  intersex disorder  pilocytic astrocytoma
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