PMID- 25356804 OWN - NLM STAT- MEDLINE DCOM- 20150320 LR - 20211021 IS - 1532-1827 (Electronic) IS - 0007-0920 (Print) IS - 0007-0920 (Linking) VI - 112 IP - 2 DP - 2015 Jan 20 TI - Influence of segmental chromosome abnormalities on survival in children over the age of 12 months with unresectable localised peripheral neuroblastic tumours without MYCN amplification. PG - 290-5 LID - 10.1038/bjc.2014.557 [doi] AB - BACKGROUND: The prognostic impact of segmental chromosome alterations (SCAs) in children older than 1 year, diagnosed with localised unresectable neuroblastoma (NB) without MYCN amplification enrolled in the European Unresectable Neuroblastoma (EUNB) protocol is still to be clarified, while, for other group of patients, the presence of SCAs is associated with poor prognosis. METHODS: To understand the role of SCAs we performed multilocus/pangenomic analysis of 98 tumour samples from patients enrolled in the EUNB protocol. RESULTS: Age at diagnosis was categorised into two groups using 18 months as the age cutoff. Significant difference in the presence of SCAs was seen in tumours of patients between 12 and 18 months and over 18 months of age at diagnosis, respectively (P=0.04). A significant correlation (P=0.03) was observed between number of SCAs per tumour and age. Event-free (EFS) and overall survival (OS) were calculated in both age groups, according to both the presence and number of SCAs. In older patients, a poorer survival was associated with the presence of SCAs (EFS=46% vs 75%, P=0.023; OS=66.8% vs 100%, P=0.003). Moreover, OS of older patients inversely correlated with number of SCAs (P=0.002). Finally, SCAs provided additional prognostic information beyond histoprognosis, as their presence was associated with poorer OS in patients over 18 months with unfavourable International Neuroblastoma Pathology Classification (INPC) histopathology (P=0.018). CONCLUSIONS: The presence of SCAs is a negative prognostic marker that impairs outcome of patients over the age of 18 months with localised unresectable NB without MYCN amplification, especially when more than one SCA is present. Moreover, in older patients with unfavourable INPC tumour histoprognosis, the presence of SCAs significantly affects OS. FAU - Defferrari, R AU - Defferrari R AD - Department of Pathology, Istituto Giannina Gaslini, Genova 16148, Italy. FAU - Mazzocco, K AU - Mazzocco K AD - Department of Pathology, Istituto Giannina Gaslini, Genova 16148, Italy. FAU - Ambros, I M AU - Ambros IM AD - Children's Cancer Research Institute, St Anna Kinderkrebsforschung, Vienna 1090, Austria. FAU - Ambros, P F AU - Ambros PF AD - Children's Cancer Research Institute, St Anna Kinderkrebsforschung, Vienna 1090, Austria. FAU - Bedwell, C AU - Bedwell C AD - Northern Genetics Service, Newcastle upon Tyne NEI 3 BZ, UK. FAU - Beiske, K AU - Beiske K AD - Department of Pathology, Oslo University Hospital Rikshopitalet, Oslo 0424, Norway. FAU - Benard, J AU - Benard J AD - Departement de Biologie et de Pathologie Medicales, Gustave Roussy Cancer Campus, Villejuif 94800, France. FAU - Berbegall, A P AU - Berbegall AP AD - Department of Pathology, Medical School of Valencia, University of Valencia, Valencia 46010, Spain. FAU - Bown, N AU - Bown N AD - Northern Genetics Service, Newcastle upon Tyne NEI 3 BZ, UK. FAU - Combaret, V AU - Combaret V AD - Laboratoire de Recherche Translationnelle, Centre Leon-Berard, Lyon 69008, France. FAU - Couturier, J AU - Couturier J AD - Unite de Genetique Somatique et Cytogenetique, Institut Curie, Paris Cedex 05 75248, France. FAU - Erminio, G AU - Erminio G AD - Epidemiology, Biostatistics and Committees Unit, Istituto Giannina Gaslini, Genova 16148, Italy. FAU - Gambini, C AU - Gambini C AD - Department of Pathology, Istituto Giannina Gaslini, Genova 16148, Italy. FAU - Garaventa, A AU - Garaventa A AD - Department of Haematology-Oncology, Istituto Giannina Gaslini, Genova 16148, Italy. FAU - Gross, N AU - Gross N AD - Pediatric Oncology Research Unit, Lausanne University Hospital (CHUV), Lausanne 1011, Switzerland. FAU - Haupt, R AU - Haupt R AD - Epidemiology, Biostatistics and Committees Unit, Istituto Giannina Gaslini, Genova 16148, Italy. FAU - Kohler, J AU - Kohler J AD - Department of Paediatric Oncology, Southampton General Hospital, Southampton S016 6YD, UK. FAU - Jeison, M AU - Jeison M AD - Cancer Cytogenetique and Molecular Cytogenetique Laboratory, Schneider Children's Medical Center of Israel, Petah Tikva, Israel. FAU - Lunec, J AU - Lunec J AD - Northern Institute for Cancer Research, Newcastle University, Newcastle NE2 4HH, UK. FAU - Marques, B AU - Marques B AD - Department of Human Genetics, National Institute of Health Doutor Ricardo Jorge, Lisbon 1649-016, Portugal. FAU - Martinsson, T AU - Martinsson T AD - Department of Clinical Genetics, Goteborg University, Sahlgrenska University Hospital, Goteborg 413 45, Sweden. FAU - Noguera, R AU - Noguera R AD - Department of Pathology, Medical School of Valencia, University of Valencia, Valencia 46010, Spain. FAU - Parodi, S AU - Parodi S AD - Institute of Electronics, Computer and Telecommunication Engineering, National Research Council, Genova 16149, Italy. FAU - Schleiermacher, G AU - Schleiermacher G AD - 1] INSERM U830, Laboratoire de Genetique et Biologie des Cancers, Paris Cedex 05 75248, France [2] Departement d'Oncologie Pediatrique, Institut Curie, Paris Cedex 05 75248, France. FAU - Tweddle, D A AU - Tweddle DA AD - Northern Institute for Cancer Research, Newcastle University, Newcastle NE2 4HH, UK. FAU - Valent, A AU - Valent A AD - Departement de Biologie et de Pathologie Medicales, Gustave Roussy Cancer Campus, Villejuif 94800, France. FAU - Van Roy, N AU - Van Roy N AD - Center for Medical Genetics, Ghent University Hospital, Ghent 9000, Belgium. FAU - Vicha, A AU - Vicha A AD - Department of Paediatric Haematology and Oncology, Charles University and University Hospital Motol, Prague 15008, Czech Republic. FAU - Villamon, E AU - Villamon E AD - Department of Hematology, Hospital Universitari i Politecnic La Fe, Valencia 46009, Spain. FAU - Tonini, G P AU - Tonini GP AD - Laboratory of Neuroblastoma, Onco/Haematology Laboratory, University of Padua, Pediatric Research Institute (IRP)-Citta della Speranza, Corso Stati Uniti 4, Padova 35127, Italy. LA - eng GR - Cancer Research UK/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20141104 PL - England TA - Br J Cancer JT - British journal of cancer JID - 0370635 RN - 0 (MYCN protein, human) RN - 0 (N-Myc Proto-Oncogene Protein) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins) SB - IM MH - Chromosome Aberrations MH - Comparative Genomic Hybridization MH - Disease-Free Survival MH - Gene Amplification MH - Humans MH - Infant MH - Kaplan-Meier Estimate MH - N-Myc Proto-Oncogene Protein MH - Neuroblastoma/diagnosis/*genetics/mortality MH - Nuclear Proteins/genetics MH - Oncogene Proteins/genetics MH - Peripheral Nervous System Neoplasms/diagnosis/*genetics/mortality MH - Prognosis PMC - PMC4453444 EDAT- 2014/10/31 06:00 MHDA- 2015/03/21 06:00 PMCR- 2016/01/20 CRDT- 2014/10/31 06:00 PHST- 2014/05/26 00:00 [received] PHST- 2014/09/22 00:00 [revised] PHST- 2014/10/04 00:00 [accepted] PHST- 2014/10/31 06:00 [entrez] PHST- 2014/10/31 06:00 [pubmed] PHST- 2015/03/21 06:00 [medline] PHST- 2016/01/20 00:00 [pmc-release] AID - bjc2014557 [pii] AID - 10.1038/bjc.2014.557 [doi] PST - ppublish SO - Br J Cancer. 2015 Jan 20;112(2):290-5. doi: 10.1038/bjc.2014.557. Epub 2014 Nov 4.