Multiregion Comprehensive Genomic Profiling of a Gastric Mixed Neuroendocrine-Nonneuroendocrine Neoplasm with Trilineage Differentiation.
- Author:
Faheem FAROOQ
1
;
Kevin ZARRABI
;
Keith SWEENEY
;
Joseph KIM
;
Jela BANDOVIC
;
Chiraag PATEL
;
Minsig CHOI
Author Information
- Publication Type:Case Report
- Keywords: Neuroendocrine neoplasm; Gastric cancer; Precision medicine
- MeSH: Adenocarcinoma; Carcinoma, Neuroendocrine; Carcinoma, Squamous Cell; Humans; Precision Medicine; Stomach Neoplasms
- From:Journal of Gastric Cancer 2018;18(2):200-207
- CountryRepublic of Korea
- Language:English
- Abstract: Mixed neuroendocrine-nonneuroendocrine neoplasms (MiNENs) are a group of rare tumors previously known as mixed adenoneuroendocrine carcinomas (MANECs). The neuroendocrine component is high-grade and may consist of small-cell carcinoma or large-cell neuroendocrine carcinoma. The nonneuroendocrine component may consist of adenocarcinoma or squamous cell carcinoma. We report a unique case of a MiNEN with trilineage differentiation: large-cell neuroendocrine carcinoma, squamous cell carcinoma, and adenocarcinoma. The reported patient presented with symptoms of an upper gastrointestinal bleed and was ultimately diagnosed with a MiNEN with trilineage differentiation. This is the first report of this exceedingly rare tumor type to include next-generation sequencing of the 3 separate tumor entities. In addition, we review the current literature and discuss the role of next-generation sequencing in classifying and treating MiNEN tumors.
