Turcot Syndrome: A Synchronous Clinical Presentation of Glioblastoma Multiforme and Adenocarcinoma of the Colon

Turcot syndrome (TS) is a rare hereditary disorder clinically characterized by the occurrence of primary tumors of the colon and the central nervous system (CNS). Here we present the case of an 11-year-old boy with a synchronous clinical presentation of both glioblastoma multiforme (GBM) and colonic adenocarcinoma. A molecular genetic study revealed microsatellite instability in the DNA mismatch repair (MMR) gene. This patient ultimately survived for 13 months after clinical presentation. Based on this case study, the synchronous presentation of glioblastoma multiforme and adenocarcinoma of the colon might suggest a shorter survival rate for patients with Turcot syndrome. A literature review complements this paper.

[1]  R. Kleinerman,et al.  Muir-Torre Syndrome / Turcot Syndrome overlap? A patient with sebaceous carcinoma, colon cancer, and a malignant astrocytoma. , 2012, Dermatology online journal.

[2]  J. Browning,et al.  Primary ecthyma gangrenosum as a presenting sign of leukemia in a child. , 2012, Dermatology online journal.

[3]  W. Marsden I and J , 2012 .

[4]  Jun Gi Kim,et al.  Turcot Syndrome: A Case Report in an Unsuspected Setting , 2012, Journal of Gastrointestinal Surgery.

[5]  S. Jost,et al.  Glioblastomas With Giant Cell and Sarcomatous Features in Patients With Turcot Syndrome Type 1: A Clinicopathological Study of 3 Cases , 2010, Neurosurgery.

[6]  L. Meltesen,et al.  Characterization of Glioblastomas in Young Adults , 2006, Brain pathology.

[7]  H. Morreau,et al.  Two PMS2 Mutations in a Turcot Syndrome Family with Small Bowel Cancers , 2005, The American Journal of Gastroenterology.

[8]  Margaret-Mary G. Wilson,et al.  Turcot Syndrome in an Elderly Adult , 2002, Journal of clinical gastroenterology.

[9]  K. Tokunaga,et al.  Ganglioglioma in a patient with Turcot syndrome , 2000 .

[10]  T. Tamiya,et al.  Ganglioglioma in a patient with Turcot syndrome. Case report. , 2000, Journal of neurosurgery.

[11]  S. Leung,et al.  Germline hMSH2 and differential somatic mutations in patients with Turcot's syndrome , 1999, Genes, chromosomes & cancer.

[12]  S. Gollin,et al.  Medulloblastoma and glioblastoma multiforme in a patient with Turcot syndrome: a case report. , 1998, Surgical neurology.

[13]  M. Koike,et al.  Drastic genetic instability of tumors and normal tissues in Turcot syndrome , 1997, Oncogene.

[14]  Erwin G. Van Meir,et al.  Brain tumor-polyposis syndrome: two genetic diseases? , 1997, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[15]  C. Rochlitz,et al.  Survival of patients with Turcot's syndrome and glioblastoma. , 1996, The New England journal of medicine.

[16]  K. Kinzler,et al.  The molecular basis of Turcot's syndrome. , 1995, The New England journal of medicine.

[17]  Yusuke Nakamura,et al.  Germ‐line and somatic mutations of the APC gene in patients with turcot syndrome and analysis of APC mutations in brain tumors , 1994, Genes, chromosomes & cancer.

[18]  F. Paraf [Turcot syndrome: evolution of knowledges]. , 1994, Gastroenterologie clinique et biologique.

[19]  M. Shigemori,et al.  [A case of Turcot syndrome (glioma polyposis)]. , 1993, No shinkei geka. Neurological surgery.

[20]  R. Fodde,et al.  Genetic evidence that Turcot syndrome is not allelic to familial adenomatous polyposis. , 1992, American journal of medical genetics.

[21]  S. Toya,et al.  Nonfamilial turcot syndrome presenting with astrocytoma--case report. , 1989, Neurologia medico-chirurgica.

[22]  Z. Jamjoom,et al.  Turcot syndrome: report of a case and review of the literature. , 1989, International surgery.

[23]  C. Zee,et al.  Turcot syndrome: a case with spinal cord and colonic neoplasms. , 1984, AJR. American journal of roentgenology.

[24]  A. Auvinen,et al.  Malignant Tumors of the Central Nervous System , 2020, Occupational Cancers.