Optic nerve pilomyxoid astrocytoma in a patient with Noonan syndrome.

Pediatr Blood Cancer

Department of Pediatric Hematology Oncology, University of Florida, Gainesville, Florida.

Published: June 2015

AI Article Synopsis

  • Noonan syndrome (NS) is an autosomal dominant disorder characterized by unique facial features, short stature, heart issues, and developmental delays.
  • About 50% of NS cases are linked to mutations in the PTPN11 gene, affecting the RAS signaling pathway, which can be related to tumor development.
  • This report highlights a patient with NS who has a PTPN11 mutation and is diagnosed with an optic pathway pilomyxoid astrocytoma, which is a rare occurrence in NS cases.

Article Abstract

Noonan syndrome (NS; MIM 163950) is an autosomal dominant syndrome which is clinically diagnosed by the distinct facial features, short stature, cardiac anomalies and developmental delay. About 50% of cases are associated with gain of function mutations in PTPN11 gene which leads to activation of the RAS/mitogen-activated protein kinase signaling pathway. This is known to have a role in tumorigenesis. Despite this, only limited reports of solid tumors (Fryssira H, Leventopoulos G, Psoni S, et al. Tumor development in three patients with Noonan syndrome. Eur J Pediatr 2008;167:1025-1031; Schuettpelz LG, McDonald S, Whitesell K et al. Pilocytic astrocytoma in a child with Noonan syndrome. Pediatr Blood Cancer 2009;53:1147-1149; Sherman CB, Ali-Nazir A, Gonzales-Gomez I, et al. Primary mixed glioneuronal tumor of the central nervous system in a patient with Noonan syndrome. J Pediatr Hematol Oncol 2009;31:61-64; Sanford RA, Bowman R, Tomita T, et al. A 16 year old male with Noonan's syndrome develops progressive scoliosis and deteriorating gait. Pediatr Neurosurg 1999;30:47-52) and no prior reports of optic gliomas have been described in patients with NS. We present here a patient with NS with a PTPN11 mutation and an optic pathway pilomyxoid astrocytoma.

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Source
http://dx.doi.org/10.1002/pbc.25382DOI Listing

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