CINXE.COM
Synchronous Cancers: Acute Myeloid Leukemia and Pancreatic D | 110404
<!doctype html> <html lang="fr"> <head> <!-- Required meta tags --> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no"> <meta http-equiv="X-UA-Compatible" content="IE=edge"> <meta http-equiv="Content-Language" content="fr"> <meta name="robots" content="index, follow"> <meta name="googlebot" content="index, follow"> <meta name="google-site-verification" content="IACPFCyYP-SMiV4khyHgqu1j88X5StL99Hd2ePFTlkg" /> <!-- Bootstrap CSS --> <link rel="stylesheet" href="https://stackpath.bootstrapcdn.com/bootstrap/4.4.1/css/bootstrap.min.css"> <!--=============Fonts===============--> <link rel="stylesheet" href="https://use.typekit.net/lpc2eiw.css"> <link rel="canonical" href="https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html"> <link rel="alternate" href="https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" hreflang="fr-FR"/> <link href="https://fonts.googleapis.com/css?family=Spectral:200,200i,300,300i,400,400i,500,500i,600,600i,700,700i,800,800i" rel="stylesheet"> <link href="https://fonts.googleapis.com/css?family=Open+Sans:300,300i,400,400i,600,600i,700,700i,800,800i|Raleway:100,100i,200,200i,300,300i,400,400i,500,500i,600,600i,700,700i,800,800i,900,900i" rel="stylesheet"> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/5.11.2/css/all.min.css" /> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/4.7.0/css/font-awesome.min.css"> <!--=============global CSS===============--> <!-- Bootstrap core CSS --> <link rel="stylesheet" href="/assets/css/jquery.mCustomScrollbar.min.css"> <link href="/assets/css/iconsmind.css" rel="stylesheet"> <link href="/assets/css/metisMenu.min.css" rel="stylesheet"> <link href="/assets/css/mm-vertical-hover.css" rel="stylesheet"> <link rel="stylesheet" href="/assets/css/coolautosuggest.css"> <link rel="stylesheet" href="/assets/css/global.css"> <link rel="stylesheet" href="/assets/css/styles-journals.css"> <!-- Custom styles for this template --> <link href="/assets/css/main_global.css" rel="stylesheet"> <link rel="stylesheet" href="/assets/css/styles.css"> <link rel="stylesheet" href="/assets/css/author.css"> <!-- Global site tag (gtag.js) - Google Analytics --> <script async src="https://www.googletagmanager.com/gtag/js?id=UA-157582964-1"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-NQD34JM6Q0'); </script> <!--Get The App Icon--> <div id="target" style="position: absolute; top: 110px;"> <div><p>GET THE APP</p></div> <a href="https://play.google.com/store/apps/details?id=com.journals.iomcworld&hl=en" target="_blank" id="getAppModel"> <div class="a_icon"> <span><i class="fa fa-android"></i></span> </div> </a> <!-- <a href="#" id="getAppModel"> <div class="a_icon a_icon_1"> <span><i class="fa fa-apple" aria-hidden="true"></i></span> </div> </a> --> </div> <!--Get The App Icon--> <script async src="https://www.googletagmanager.com/gtag/js?id=G-GH5GSYYKJG"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-NQD34JM6Q0'); </script> <title>Synchronous Cancers: Acute Myeloid Leukemia and Pancreatic D | 110404</title> <meta name="keywords" content="Bhavana Bhatnagar, Christen Jordan, Cara Randall4, Andrew Gordon, Christinea Marino, Angela Burrie and Ashkan Emadi*, "/> <meta name="description" content="A diagnosis of synchronous cancers within the same individual poses a multitude of diagnostic and treatment-related challenges. Many of these challenges pe..110404"/> <meta name="citation_publisher" content="Conseil m茅dical international en ligne" /> <meta name="citation_journal_title" content="Rapports de cas d'oncologie et de cancer"> <meta name="citation_title" content="Synchronous Cancers: Acute Myeloid Leukemia and Pancreatic Ductal Adenocarcinoma with Germline Heterozygous DDX41 and MUTYH Mutations in a Patient from Appalachia, United States"> <meta name="citation_author" content="Bhavana Bhatnagar" /> <meta name="citation_author" content="Christen Jordan" /> <meta name="citation_author" content="Cara R" /> <meta name="citation_author" content="all4" /> <meta name="citation_author" content="Andrew Gordon" /> <meta name="citation_author" content="Christinea Marino" /> <meta name="citation_author" content="Angela Burrie" /> <meta name="citation_author" content="Ashkan Emadi" /> <meta name="citation_year" content=""> <meta name="citation_volume" content="10"> <meta name="citation_issue" content="3"> <meta name="citation_abstract" content="A diagnosis of synchronous cancers within the same individual poses a multitude of diagnostic and treatment-related challenges. Many of these challenges pertain to the vast heterogeneity in cancers and presentations, patient ineligibility for clinical trials, lack of standardized guidelines to direct management and an incomplete understanding of the molecular mechanisms that contribute to the development of these cancers. We present a case of concurrent diagnoses of Pancreatic Ductal Adenocarcinoma (PDAC) and Acute Myeloid Leukemia (AML) with a comprehensive mutational analysis of the pancreatic tumor, AML blasts, and germline DNA collected from cultured skin fibroblast samples. In addition to some commonly detected mutations (e.g. KRAS Gly12Asp in PDAC and TP53 Met237lle in AML), the genetic testing revealed the presence of DDX41 and MUTYH gene mutations in both germline DNA and tumor tissue specimens. This case underscores the importance of addressing the interplay of genetic, lifestyle and environmental factors in the development of synchronous cancers in an individual, and only by doing so, evidence-based guidelines for early detection and management may be developed."> <meta name="citation_abstract_html_url" content="https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html"> </head> <body> <header> <!--========Topbar============--> <div class="bg-1"> <div class="container-fluid py-1"> <div class="row justify-content-between align-items-center"> <div class="col-sm-auto"> <a href="https://french.iomcworld.org/" title="IOMC"><img src="/assets/img/IOMC-logo-white.svg" alt="occrs" height="50" alt="IOMC"></a> </div> <div class="col-sm-auto"> <nav class="nav"> <a class="nav-link white"><i class="fa fa-whatsapp"></i> +32(800) 709-48 </a> <a href="mailto:oncology@oncologyinsights.org" class="nav-link white"><i class="fas fa-envelope-square"></i> oncology@oncologyinsights.org</a> <!---languages drop down----> <div class="nav-item dropdown multi_lang j_multi_lang"> <a class="nav-link dropdown-toggle" href="#" id="multi_lang" role="button" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Language </a> <div class="dropdown-menu" aria-labelledby=""> <a class="dropdown-item" href="https://www.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="English"> <img src="https://www.longdom.org/admin/flags/usa.png">English </a> <a class="dropdown-item" href="https://spanish.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Spanish"> <img src="https://www.longdom.org/admin/flags/spain.png">Spanish </a> <a class="dropdown-item" href="https://chinese.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Chinese"> <img src="https://www.longdom.org/admin/flags/china.png">Chinese </a> <a class="dropdown-item" href="https://russian.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Russian"> <img src="https://www.longdom.org/admin/flags/russia.png">Russian </a> <a class="dropdown-item" href="https://german.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="German"> <img src="https://www.longdom.org/admin/flags/germany.png">German </a> <a class="dropdown-item" href="https://japanese.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Japanese"> <img src="https://www.longdom.org/admin/flags/japan.png">Japanese </a> <a class="dropdown-item" href="https://portuguese.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Portuguese"> <img src="https://www.longdom.org/admin/flags/portugal.png">Portuguese </a> <a class="dropdown-item" href="https://hindi.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Hindi"> <img src="https://www.longdom.org/admin/flags/india.png">Hindi </a> <a class="dropdown-item" href="https://telugu.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Telugu"> <img src="https://www.longdom.org/admin/flags/india.png">Telugu </a> <a class="dropdown-item" href="https://tamil.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html" title="Tamil"> <img src="https://www.longdom.org/admin/flags/india.png">Tamil </a> </div> </div> <!---languages drop down----> </nav> </div> </div> </div> </div> <!--=========Journal Header=================--> <div class="py-3"> <div class="container-fluid"> <div class="row align-items-center justify-content-between"> <div class="col-12 col-sm-auto"> <h1 class="rockwell fweight-600 mb-0">Rapports de cas d'oncologie et de cancer</h1> <span class="float-right">ISSN - 2471-8556</span> </div> </div> </div> </div> <!--======minNavbar============--> <nav class="navbar navbar-expand-lg navbar-dark bg-1"> <a class="navbar-brand d-none" href="#">Navbar</a> <button class="navbar-toggler" type="button" data-toggle="collapse" data-target="#navbarJrnl" aria-controls="navbarJrnl" aria-expanded="false" aria-label="Toggle navigation"> <span class="navbar-toggler-icon"></span> </button> <div class="collapse navbar-collapse justify-content-between" id="navbarJrnl"> <ul class="navbar-nav"> <li class="nav-item"> <a class="nav-link active" href="https://french.iomcworld.org/oncology-cancer-case-reports.html" title="">Journal Accueil</a> </li> <li class="nav-item dropdown"> <a class="nav-link custom-toggle" href="#" id="navbarDropdownMenuLink" data-toggle="dropdown" aria-haspopup="true" aria-expanded="false">Des lignes directrices <i class="fa fa-angle-down align-middle" aria-hidden="true"></i> </a> <!-- <a class="nav-link" href="https://french.iomcworld.org/oncology-cancer-case-reports/guidelines.html" title="Author Guidelines">Author Guidelines</a> --> <div class="dropdown-menu custom-dropdown" aria-labelledby="navbarDropdownMenuLink"> <a class="dropdown-item" href="https://french.iomcworld.org/oncology-cancer-case-reports/aims-and-scope.html">Objectif et port茅e</a> <a class="dropdown-item" href="https://french.iomcworld.org/oncology-cancer-case-reports/guidelines.html">Des lignes directrices</a> <a class="dropdown-item" href="https://french.iomcworld.org/oncology-cancer-case-reports/peer-review-process.html">Processus d'examen par les pairs</a> <a class="dropdown-item" href="https://french.iomcworld.org/oncology-cancer-case-reports/ethical-malpractices.html">脡thique de publication et d茅claration de faute professionnelle</a> </div> </li> <!--<li class="nav-item"> <a class="nav-link" href="https://www.iomcworld.org/oncology-cancer-case-reports/inpress.html" title="Articles in process">Articles in process</a> </li> <li class="nav-item"> <a class="nav-link" href="https://www.iomcworld.org/oncology-cancer-case-reports/inpress.html" title="Current Issue">Current Issue</a> </li>--> <li class="nav-item"> <a class="nav-link" href="https://french.iomcworld.org/oncology-cancer-case-reports/archive.html" title="">Archive</a> </li> <li class="nav-item"> <a class="nav-link" href="https://www.scholarscentral.org/submissions/oncology-cancer-case-reports.html" title="">Soumettre le manuscrit</a> </li> <li class="nav-item"> <a class="nav-link" href="https://french.iomcworld.org/oncology-cancer-case-reports/contact.html" title="">Contact</a> </li> </ul> </div> </nav> </header> <!--========Content ===================--> <section class="py-5"> <div class="container-fluid"> <div class="row"> <div class="col"> <div class="card"> <h2 class="card-header">Abstrait</h2> <div class="card-body p-2"> <h3>Synchronous Cancers: Acute Myeloid Leukemia and Pancreatic Ductal Adenocarcinoma with Germline Heterozygous DDX41 and MUTYH Mutations in a Patient from Appalachia, United States</h3> <p> <i class="fas fa-user"></i> Bhavana Bhatnagar, Christen Jordan, Cara Randall4, Andrew Gordon, Christinea Marino, Angela Burrie and Ashkan Emadi* </p> <p><p style="text-align:justify">A diagnosis of synchronous cancers within the same individual poses a multitude of diagnostic and treatment-related challenges. Many of these challenges pertain to the vast heterogeneity in cancers and presentations, patient ineligibility for clinical trials, lack of standardized guidelines to direct management and an incomplete understanding of the molecular mechanisms that contribute to the development of these cancers. We present a case of concurrent diagnoses of Pancreatic Ductal Adenocarcinoma (PDAC) and Acute Myeloid Leukemia (AML) with a comprehensive mutational analysis of the pancreatic tumor, AML blasts, and germline DNA collected from cultured skin fibroblast samples. In addition to some commonly detected mutations (e.g. KRAS Gly12Asp in PDAC and TP53 Met237lle in AML), the genetic testing revealed the presence of DDX41 and MUTYH gene mutations in both germline DNA and tumor tissue specimens. This case underscores the importance of addressing the interplay of genetic, lifestyle and environmental factors in the development of synchronous cancers in an individual, and only by doing so, evidence-based guidelines for early detection and management may be developed.</p> </p> <div class="alert alert-info text-left"><b>Clause de non-responsabilit茅 :</b> Ce r茅sum茅 a 茅t茅 traduit 脿 l'aide d'outils d'intelligence artificielle et n'a pas encore 茅t茅 r茅vis茅 ou v茅rifi茅.</div> <div class="nav social-icons"> <a class="nav-link w-auto">Partagez cet article</a> <a title="" target="_blank" href="https://www.facebook.com/sharer.php?u=https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html"><i class="fab fa-facebook-f"></i></a> <a class="nav-link" title="" target="_blank" href="https://twitter.com/share?url=https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html"><i class="fab fa-twitter"></i></a> <a class="nav-link" title="" target="_blank" href="https://www.linkedin.com/shareArticle?mini=true&url=https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html"><i class="fab fa-linkedin-in"></i></a> <a class="nav-link" title="" target="_blank" href="https://plus.google.com/share?url=https://french.iomcworld.org/abstract/synchronous-cancers-acute-myeloid-leukemia-and-pancreatic-ductal-adenocarcinoma-with-germline-heterozygous-ddx41-and-mut-110404.html"><i class="fab fa-google-plus-g"></i></a> </div> </div> </div> </div> <div class="col-12 col-sm-3"> <div class="col"> <!--==========Journal Highlights ================--> <div class="card rounded-0 mb-4 sidebar"> <h5 class="mt-n1 mb-0"><span>Faits saillants de la revue</span></h5> <div class="card-body p-2 match-height" style="height:350px;overflow:auto;"> <nav class="nav flex-column icon-list icon-list-angle-right"> <a class="nav-link" href="https://french.iomcworld.org/scholarly/skin-cancer-journals-articles-ppts-list-4203.html" title="Cancer de la peau">Cancer de la peau</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/integrative-medicine-journals-articles-ppts-list-4202.html" title="Médecine intégrative">Médecine intégrative</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/neoplasm-journals-articles-ppts-list-4198.html" title="Néoplasme">Néoplasme</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/oncogenes-journals-articles-ppts-list-4201.html" title="Oncogènes">Oncogènes</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/gynecological-oncology-journals-articles-ppts-list-4368.html" title="Oncologie gynécologique">Oncologie gynécologique</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/prostate-breast-journals-articles-ppts-list-4194.html" title="Prostate Sein">Prostate Sein</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/hematology-case-reports-journals-articles-ppts-list-4193.html" title="Rapports de cas d'hématologie">Rapports de cas d'hématologie</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/liver-cancer-case-reports-journals-articles-ppts-list-4195.html" title="Rapports de cas de cancer du foie">Rapports de cas de cancer du foie</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/lung-cancer-case-reports-journals-articles-ppts-list-4199.html" title="Rapports de cas de cancer du poumon">Rapports de cas de cancer du poumon</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/carcinoma-case-reports-journals-articles-ppts-list-4200.html" title="Rapports de cas de carcinome">Rapports de cas de carcinome</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/radiation-therapy-case-reports-journals-articles-ppts-list-4204.html" title="Rapports de cas de radiothérapie">Rapports de cas de radiothérapie</a> <a class="nav-link" href="https://french.iomcworld.org/scholarly/cancer-therapeutics-journals-articles-ppts-list-4197.html" title="Thérapeutique du cancer">Thérapeutique du cancer</a> </nav> </div> </div> </div> <div class="col"> <div class="card rounded-0 mb-4 sidebar"> <h5 class="mt-n1 mb-0"><span>Index茅 dans</span></h5> <div class="card-body p-2 match-height"> <ul class="list-unstyled icon-list icon-list-angle-double-right"> <li class="my-3"> Web de la Science(Index des citations de sources émergentes)</li> <li class="my-3">EBSCO AZ</li> <li class="my-3">Google Scholar</li> <li class="my-3">OCLC - WorldCat</li> <li class="my-3">PUBLIÉ</li> <li class="my-3">Publions</li> <li class="my-3">RechercheRef</li> <li class="my-3">Scimago</li> <li class="my-3">SCOPUS</li> <li class="my-3">Université Hamdard</li> </ul> </div> </div> </div> </div> </div> </div> </section> <footer class="bg-1 py-3 text-white"> <div class="container"> <div class="row align-items-center justify-content-between"> <div class="col-12 col-sm-6"> <p class="mb-0">droits d'auteur © 2025 <a class="text-white" href="https://french.iomcworld.org/" title="">Conseil m茅dical international en ligne</a></p> </div> <div class="col-12 col-sm-6 nav lang_social_icons"> <p> <a title="Click here" target="_blank" href="https://www.facebook.com/profile.php?id=100078365649540"><i class="fab fa-facebook"></i> </a></p> <p><a title="Click here" target="_blank" href="https://twitter.com/iomc8"><i class="fab fa-twitter"></i> </a></p> <p><a target="_blank" href="https://www.instagram.com/iomcworld16/"><i class="fab fa-instagram" aria-hidden="true"></i> </a></p> </div> </div> </div> <!--<a href="https://www.globaltechsummit.com" class="bell_icon" target="_blank"><img src="https://www.vizagtechsummit.com/images/bellicon.png" alt="logo"></a>--> <a id="back-to-top" href="#" class="btn btn-light btn-lg back-to-top" role="button"><i class="fas fa-chevron-up"></i></a> </footer> <!-- Bootstrap core JavaScript===================================== --> <!-- Placed at the end of the document so the pages load faster --> <script src="https://code.jquery.com/jquery-3.3.1.min.js"></script> <script src="https://cdnjs.cloudflare.com/ajax/libs/popper.js/1.14.7/umd/popper.min.js"></script> <script src="https://stackpath.bootstrapcdn.com/bootstrap/4.3.1/js/bootstrap.min.js"></script> <!-- Just to make our placeholder images work. Don't actually copy the next line! --> <script src="/assets/js/metisMenu.min.js"></script> <!--Get the app icon js--> <script> jQuery(function($) { $(window).scroll(function fix_element() { $('#target').css( $(window).scrollTop() > 100 ? { 'position': 'fixed', 'top': '440px' } : { 'position': 'absolute', 'top': '440px' } ); return fix_element; }()); }); </script> <!--Get the app icon js end--> <!--Custom Theme JavaScript --> <script> $("#menu").metisMenu({ triggerElement: '.nav-link', parentTrigger: '.nav-item', subMenu: '.nav.flex-column' }); </script> <!--===========Scroll To Top======================--> <script src="/assets/js/back-to-top.js"></script> <!-- auto suggest===================================== --> <script type="text/javascript" src="/assets/js/coolautosuggest.js"></script> <script language="javascript" type="text/javascript"> $("#keyword").coolautosuggest({ url: "https://french.iomcworld.org/author-names.php?chars=", minChars: 3, }); </script> <script> $(document).ready(function(){ $(window).scroll(function () { if ($(this).scrollTop() > 50) { $('#back-to-top').fadeIn(); } else { $('#back-to-top').fadeOut(); } }); // scroll body to 0px on click $('#back-to-top').click(function () { $('body,html').animate({ scrollTop: 0 }, 400); return false; }); }); </script> </body> </html>