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[Testicular feminization, germinal tumor, NK lymphoma: what is the relationship?]
M P Castex1, A I Bertozzi, H Rubie
1Unité d'hémato-oncologie, hôpital des enfants, BP 3119, 31026 Toulouse, France.
Case Report:
The authors report the case of a ten-year-old girl, who had been treated for a malignant germinal tumour five years before, presenting with a leukaemia-like syndrome associating bone pain, liver and spleen nodules and bone marrow involvement. The cyto-pathological analysis showed undifferentiated cells and CD56 and protein S100 were found as the only positive markers. The child received several subsequent lines of chemotherapy and ultimately died of the disease.
Comments:
Particular cytogenetic abnormalities were observed (iso1q10, iso6p10) and were in favor of an unusual NK cell lymphoma.
Conclusion:
This analysis revealed a XY genotype (testicular feminization syndrome).