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Table 1 Reports of anterior mediastinal neuroblastoma and ganglioneuroblastoma cases published between 1943– present (including our case)

From: Anterior mediastinal neuroblastoma in an adult: an additional case of a rare tumor in an unusual location with review of the literature

Source

No. of cases

Age/Sex

Clinical presentation

Site

Size (cm)

Histology

Clinical evidence of SIADH, serum ADH level (pg/mL)

Immunohistochemistry

Molecular

Follow-up (mo/yr)

Positive

Negative

Sailer (1943)[4]

1

65/F

Headache, dizziness

AM

5

NB

NR

NP

NP

NP

Autopsy, incidental finding

Büthker et al. (1964) [5]

1

67/F

Sternal pain, incidental finding

AM

3.5

NB

NR

NP

NP

NP

ANED, > 12 mo

Hutchinson et al. (1968) [6]

1

51/M

Sternal pain, incidental finding

Thymus

10

NB

No

NP

NP

NP

ANED, 18 mo, adjuvant RT

Talerman et al. (1983) [7]

1

61/F

Chest pain, severe MI

Thymus

5.5

GNB

No

NP

NP

NP

Autopsy, incidental finding

Kaye et al. (1986) [8]

1

26/F

Nausea, anorexia, headache

AM, widespread deposits of metastatic tumor

NR

NB

Yes, 6.1

NP

NP

NP

DOD. 18 mo, adjuvant ChT/RT

Salter et al. (1995) [9]

1

80/F

Hyponatremia; history of renal cell carcinoma

AM

7

NB

Yes, NR

NSE, SYN, CG (few), S100 (sparse)

Vimentin, GFAP, CK AE1/AE3, Cam 5.2

NP

ANED, 14 mo

Asada et al. (1996) [10]

1

61/F

Fatigue and nausea

Thymus

4

GNB

Yes, 2.1

NSE, CG, S100 (ganglion cells), ADH (occasional), NF, SYN

VIP, NPY, SST

NP

NR

Argani et al. (1997) [11]

3

67/F

Coronary artery disease; history of endometrial and colonic carcinomas

Thymus

NR

GNB

Yes, NR

CG, SYN, NSE (Homer Wright rosettes and neuropil), Leu 7 (cases 1 and 3), neurofilament (case 3), S100 protein (spindled and dendritic cells, largely restricted to fibrovascular septa, prominent in cases 2 and 3)

CD99 (MIC2 gene product), GFAP, calcitonin, CK AE1/3, CAM 5.2

NP

DOC, POD 10

80/M

NR

AM

7.3

NB

No

NP

ANED, 1.5 year after resection

71/F

Asymptomatic

AM

NR

NB

NR

NP

DOD, 1 year after resection (local extension, distant metastases)

Nagashima et al. (1997) [12]

1

79/M

Chest pain

AM

8.0

GNB

NR

NSE and NF (small), S100 protein, HMB-45, (moderate-sized cells), NSE and S100 protein (pyramidal cells)

  

ANED, 5 year after resection

Tateishi et al. (2003) [13]

1

72/F

Asymptomatic

AM

NR

NB

NR

Vimentin (variable), CD56, CG, SYN, NSE, NF

CD99

NR

NR

Ogawa et al. (2009) [14]

1

60/M

Asymptomatic

Thymus, right lobe

4.7

NB

Yes, 6.4

NSE, SYN CG, ADH

NR

NP

NR

Ohtaki et al. (2011) [15]*

1

64/M

Asymptomatic

Superior mediastinum

5.0

NB

NR

NSE, SYN CG, CD56, vimentin

CK AE1/AE3, CK 5/6, EMA, E-cadherin, CD3, CD20, CD79a, CD117, S100 protein, SMA, CD99

MYCN amplified

AWD, lymph nodes metastases at 10 mo

Pellegrino et al. (2012) [16]

1

79/F

Progressive asthenia and severe hyponatremia

Thymus

12

NB

Yes, NR

NSE, SYN CG, CD56

NR

NP

ANED, 24 mo

Ueda et al. (2012) [17]

1

65/F

Asymptomatic

AM

6.4

NB

NR

SYN, CG, CD56

Keratin

 

ANED, 15 mo

Rogowitz et al. (2014) [18]

1

86/M

Fatigue, feeling “shaky”, shortness of breath

AM

5.2

NB

Yes, NR

SYN, CG, CD56, S100 (focal), NF (neuropil)

CK AE1/AE3, GFAP, CD99

FISH, ESWR1 negative

ANED, 11 mo

Wiesel et al. (2015) [19]

1

62/M

Ataxia and oscillopsia

Thymus

7.5

NB

No

CG, SYN, NSE

CK AE1/AE3, CD99

MYCN non-amplified

ANED, 6 mo

Satoh et al. (2019) [20]

1

60/M

Asymptomatic

Thymus

4.7

NB

Yes, 6.4

NR

NR

NR

ANED, > 10 yr

Yanik et al. (2019) [21]

1

40/M

Anorexia, fatigue, headache, weight loss

AM (right paratracheal lesion); metastasis to hilar lymph nodes

NR

NB

NR

NR

NR

NR

ANED, 3 mo after resection with NACT

Watts et al. (2019) [22]

1

62/M

Non-specific constitution symptoms

Thymus

NR

NB

Yes, NR

CD56, SYN, CG, NSE, Ki67 (20%)

NR

NR

NR

Kennedy et al. (2022) [23]

1

83/M

Asymptomatic; history of prostatic adenocarcinoma

Thymus

3.6

NB

Yes, NR

CD56, CG, SYN (weak), NSE, ALK (weak), CD99, NeuN (variable), calretinin (variable), TdT and TTF1 (variable subset), SOX10 (rare), S100 (variable, rare), GFAP, PGP9.5

PHOX2B, panCK, Cam 5.2, EMA, CK 5/6, p40, NKX3.1, CD45, MyoD1, desmin, WT1, NF

FISH, ESWR1 negative; NGS, diploid, 3q LOH, partial 3p loss (including SETD2)

 

Moran et al. (2023) [24]

3

57–63/ F (2), M (1)

Chest pain, cough, shortness of breath

Thymus

3-4.5

NB

NR

SYN (neuropil), NSE

S100 protein, CG, SYN, CD99

NP

Alive (8–12 mo for 2 patients), Unknown for 1 patient

Current case

1

71/M

Asymptomatic

Thymus

5.2

NB

No

SYN, CG,TdT NKX2.2, GFAP (patchy), SMI31 (focal, cytoplasmic)

TTF1, CK 20, MCPyV, PHOX2B, Olig2, OCT3/4, CD99

FISH, EWSR1 and i12p negative

Recent

  1. * This case is described as occurring in the superior mediastinum, likely origin within overgrown thymus.
  2. Abbreviations: AM, anterior mediastinum; ANED, alive with no evidence of disease; AWD, alive with disease; CAB, coronary artery bypass; ChT, chemotherapy; DOC, dead of other cause; DOD, dead of disease; FISH, fluorescence in situ hybridization; GNB, ganglioneuroblastoma; MI, myocardial infarction; NACT, neoadjuvant chemotherapy; NP, not performed; NR, not reported; POD, post-operative day; RT, radiation therapy; VF, ventricular fibrillation