Skip to main content

Advertisement

Log in

α-fetoprotein expression in a dedifferentiated liposarcoma

  • Case Report
  • Published:
Virchows Archiv Aims and scope Submit manuscript

Abstract

Extremely rare cases of paraneoplastic syndromes or ectopic production of proteins associated with liposarcoma are reported in literature. We describe a unique case of relapsing retroperitoneal dedifferentiated liposarcoma with biochemical, immunohistochemical, and molecular evidence of alpha-fetoprotein (AFP) ectopic production. The lesion was associated to elevated AFP plasma levels that subsided after tumor removal. Immunohistochemical studies showed AFP production by a minority of tumor cells and reverse transcriptase polymerase chain reaction confirmed AFP mRNA expression. Finding of MDM2 and CDK4 iperexpression by immunohistochemistry confirmed the diagnosis of dedifferentiated liposarcoma.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Abelev GI (1971) α-fetoprotein in association with malignant tumors. Adv Cancer Res 14:295–357

    Article  PubMed  CAS  Google Scholar 

  2. Badve SS, Saxena R, Soman CS, Kiri VM, Raghuvanshi SR, Patoria NK (1992) α-fetoprotein production by rhabdomyosarcoma of the urinary bladder. Indian J Cancer 29:177–180

    PubMed  CAS  Google Scholar 

  3. Binh MB, Sastre-Garau X, Guillou L, de Pinieux G, Terrier P, Lagace R, Aurias A, Hostein I, Coindre JM (2005) MDM2 and CDK4 immunostainings are useful adjuncts in diagnosing well-differentiated and dedifferentiated liposarcoma subtypes: a comparative analysis of 559 soft tissue neoplasms with genetic data. Am J Surg Pathol 29:1340–1347

    Article  PubMed  Google Scholar 

  4. Coindre JM, Terrier P, Bui NB, Bonichon F, Collin F, Le Doussal V, Mandard AM, Vilain MO, Jacquemier J, Duplay H, Sastre X, Barlier C, Henry-Amar M, Mace-Lesech J, Contesso G (1996) Prognostic factors in adult patients with locally controlled soft tissue sarcoma. A study of 546 patients from the French Federation of Cancer Centers Sarcoma Group. J Clin Oncol 14:869–877

    PubMed  CAS  Google Scholar 

  5. Cui R, Nguyen TT, Taube JH, Stratton SA, Feuerman MH, Barton MC (2005) Family members p53 and p73 act together in chromatin modification and direct repression of alpha-fetoprotein transcript ion. J Biol Chem 280:39152–39160

    Article  PubMed  CAS  Google Scholar 

  6. Dei Tos AP, Pedeutour F (2002) Dedifferentiated liposarcoma. In: Fletcher CDM, Unni KK, Mertens F (eds) Tumours of Soft Tissue and Bone: Pathology and Genetics. World Health Organization Classification of Tumours, IARC, Lyon, pp 38–39

    Google Scholar 

  7. des Guetz G, Mariani P, Freneaux P, Pouillart P (2004) Paraneoplastic syndromes in cancer: Case 2. Leucocytosis associated with liposarcoma recurrence: original presentation of liposarcoma recurrence. J Clin Oncol 22:2242–2243

    Article  PubMed  Google Scholar 

  8. Hocking GR, Shembrey M, Hay D, Ostor AG (1995) α-fetoprotein-producing adenocarcinoma of the sigmoid colon with possible hepatoid differentiation. Pathology 27:277–279

    Article  PubMed  CAS  Google Scholar 

  9. Kaplan I, Hodak E, Ackerman L, Mimouni D, Anhalt GJ, Calderon S (2004) Neoplasms associated with paraneoplastic pemphigus: a review with emphasis on non-hematologic malignancy and oral mucosal manifestations. Oral Oncol 40:553–562

    Article  PubMed  Google Scholar 

  10. Kono K, Amemiya H, Sekikawa T, Iizuka H, Takahashi A, Fujii H, Matsumoto Y (2002) Clinicopathologic features of gastric cancers producing α-fetoprotein. Dig Surg 19:359–365

    Article  PubMed  CAS  Google Scholar 

  11. Maida Y, Kyo S, Takakura M, Kanaya T, Inoue M (1998) Ovarian endometrioid adenocarcinoma with ectopic production of alpha-fetoprotein. Gynecol Oncol 71:133–136

    Article  PubMed  CAS  Google Scholar 

  12. Mizejewski GJ (1985) New insights into AFP structure and function: potential biomedical applications. In: Mizejewski GJ and Porter IH (eds) α-fetoprotein and Congenital Disorders. Academic, Orlando, pp 5–34

    Google Scholar 

  13. Nakamura A, Tanaka S, Takayama H, Sakamoto M, Ishii H, Kusano M, Onizuka Y, Ota S, Mitamura K (1998) A mesenteric liposarcoma with production of granulocyte colony-stimulating factor. Intern Med 37:884–890

    Article  PubMed  CAS  Google Scholar 

  14. Wang XW and Xie H (1998) Stimulation of tumor cell growth by α-fetoprotein. Int J Cancer 75:596–599

    Article  Google Scholar 

  15. Yano T, Kishimoto T, Tomaru U, Kawarada Y, Kato H, Yoshiki T, Ishikura H (2003) Further evidence of hepatic transdifferentiation in hepatoid adenocarcinomas of the stomach: quantitative analysis of mRNA for albumin and hepatocyte nuclear factor-4alpha. Pathology 35:75–78

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgement

This study was supported by grant from The Regione Piemonte (Turin, D.D. 173 30/10/2003).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Donatella Pacchioni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bosco, M., Allia, E., Coindre, JM. et al. α-fetoprotein expression in a dedifferentiated liposarcoma. Virchows Arch 448, 517–520 (2006). https://doi.org/10.1007/s00428-006-0151-3

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00428-006-0151-3

Keywords

Navigation