Renal cell carcinoma with X;1 Translocation in a child with Klinefelter syndrome

Aswani Yenamandra, Xianting Zhou, Lisa Trinchitella, Myron Susin, Sujatha Sastry, Lakshmi Mehta

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Klinefelter syndrome (KS) is a sex chromosome abnormality occurring in 1 in 1,000 males. An association with leukemia, germ cell tumor, and male breast cancer has been suggested in KS. Such information is important for professionals caring for KS patients as the condition is frequently not clinically recognizable until after puberty. We report on a renal cell carcinoma (RCC) in a 10-year-old boy with KS. He developed intermittent hematuria at age 10 years and was diagnosed with a right kidney mass, which on pathology was identified as RCC. In addition, he was known to have learning disabilities and language delays. Analysis of peripheral blood chromosomes showed a 47,XXY karyo-type while analysis of tumor cells demonstrated clonal abnormalities including a translocation between chromosomes X and 1, designated 47,XXYc,t(X;1)(p11.2;q21)[6]/47,XXYc,t(X;1),r(Xp)[2]/46,XXYc,-X,t(X;1)[7]. Renal cell carcinoma is rare in childhood and is not previously reported in KS. The oncogenetic significance of the chromosomal regions involved in this translocation is discussed in relation to the congenital abnormality of the patient.

Original languageEnglish
Pages (from-to)281-284
Number of pages4
JournalAmerican Journal of Medical Genetics
Volume77
Issue number4
DOIs
StatePublished - 26 May 1998
Externally publishedYes

Keywords

  • Klinefelter syndrome
  • Renal cell carcinoma
  • Sex chromosome aneuploidy
  • t(X;1)

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