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From the Departments of Pathology,
*
Orthopedic Surgery,
and Radiology,
SUNY Upstate Medical University, Syracuse, New York
Pagetoid osteosarcoma is a complication of Pagets disease of bone. Sarcomatous transformation is most often seen in severe, long-standing Pagets disease. Familial clustering of Pagets disease has been described with apparent autosomal dominant inheritance with high penetrance by the sixth decade. Although definitive proof of the specific gene involved remains elusive, some researchers have shown loss of heterozygosity in a region of chromosome 18q in a relatively high percentage of studied patients affected with either Pagets disease alone, in Pagetoid osteosarcoma, and in uncomplicated osteosarcoma. Our patient was diagnosed with Pagetoid osteosarcoma and had a first-degree relative with history of the same. We hypothesized that our patients tumor samples might contain a similar genetic abnormality. Our analysis of several polymorphic markers from the chromosome 18q2122 region showed loss of maternally inherited alleles throughout the region. This finding is similar to those described previously4 and provides further evidence of a susceptibility region relating to this disease. This report describes a father and son, their young ages at diagnosis of Pagetoid sarcoma, the identical sites of disease involvement, and a loss of heterozygosity study illustrating the inheritance of the presumed defective gene.
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R. L. Vessella, T. A. Guise, E. S. Susman, L. J. Suva, G. A. Clines, S. L. Kominsky, K. L. Weber, J. M. Chirgwin, L. K. McCauley, and W. Kozlow Meeting Report from Skeletal Complications of Malignancy IV: A symposium jointly sponsored by The Paget Foundation for Paget's Disease of Bone and Related Disorders, the National Cancer Institute, and the University of Virginia School of Medicine * April 28-30, 2005 in Bethesda, Maryland, USA IBMS BoneKEy, March 1, 2006; 3(3): 15 - 42. [Full Text] [PDF] |
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