Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation

We report a 62-year-old patient with uterine carcinosarcoma associated with a germline mutation in the NBN gene which is involved in the homologous recombination repair (HRR) pathway. This patient responded well to several different treatment strategies including platinum-based chemotherapy twice, P...

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Main Authors: Tahireh Markert, David L. Kolin, Panagiotis A. Konstantinopoulos
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:Gynecologic Oncology Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352578922000595
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author Tahireh Markert
David L. Kolin
Panagiotis A. Konstantinopoulos
author_facet Tahireh Markert
David L. Kolin
Panagiotis A. Konstantinopoulos
author_sort Tahireh Markert
collection DOAJ
description We report a 62-year-old patient with uterine carcinosarcoma associated with a germline mutation in the NBN gene which is involved in the homologous recombination repair (HRR) pathway. This patient responded well to several different treatment strategies including platinum-based chemotherapy twice, PARP inhibitor therapy and immunotherapy, and is currently alive and with disease control, more than four years after diagnosis. This case is the first report of uterine carcinosarcoma associated with a germline mutation in NBN and highlights how specific genomic alterations may guide treatment decisions that may alter the natural history of an otherwise devastating disease.
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spelling doaj.art-68708be0fb2f409ea17c75d17be871222022-12-22T00:10:01ZengElsevierGynecologic Oncology Reports2352-57892022-04-0140100979Uterine carcinosarcoma associated with a germline nibrin (NBN) mutationTahireh Markert0David L. Kolin1Panagiotis A. Konstantinopoulos2DFCI, United StatesBWH, United StatesDFCI, United States; Corresponding author at: Director of Center of BRCA and Related Genes, Director of Translational Research, Division of Gynecologic Oncology, Dana-Farber Cancer Institute, Associate Professor of Medicine, Harvard Medical School, Yawkey Center for Cancer Care, YC-1424, 450 Brookline Ave, Boston, MA, 02215, United States.We report a 62-year-old patient with uterine carcinosarcoma associated with a germline mutation in the NBN gene which is involved in the homologous recombination repair (HRR) pathway. This patient responded well to several different treatment strategies including platinum-based chemotherapy twice, PARP inhibitor therapy and immunotherapy, and is currently alive and with disease control, more than four years after diagnosis. This case is the first report of uterine carcinosarcoma associated with a germline mutation in NBN and highlights how specific genomic alterations may guide treatment decisions that may alter the natural history of an otherwise devastating disease.http://www.sciencedirect.com/science/article/pii/S2352578922000595NibrinNBNGermlineUterineCarcinosarcomaEndometrial cancer
spellingShingle Tahireh Markert
David L. Kolin
Panagiotis A. Konstantinopoulos
Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation
Gynecologic Oncology Reports
Nibrin
NBN
Germline
Uterine
Carcinosarcoma
Endometrial cancer
title Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation
title_full Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation
title_fullStr Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation
title_full_unstemmed Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation
title_short Uterine carcinosarcoma associated with a germline nibrin (NBN) mutation
title_sort uterine carcinosarcoma associated with a germline nibrin nbn mutation
topic Nibrin
NBN
Germline
Uterine
Carcinosarcoma
Endometrial cancer
url http://www.sciencedirect.com/science/article/pii/S2352578922000595
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