Englander Institute for Precision Medicine

Mesonephric Adenocarcinoma in a Young Male Patient.

TitleMesonephric Adenocarcinoma in a Young Male Patient.
Publication TypeJournal Article
Year of Publication2025
AuthorsGuevara D, Shin N, Boiko A, Valiev I, Elsaeed AG, Mosquera JMiguel, Assaad MAl, Manohar J, Sigouros M, Zaichikova A, Fomchenkova V, Yunusova L, Smirnova S, Elemento O, Nauseef J, Sternberg CN
JournalAnticancer Res
Volume45
Issue2
Pagination619-623
Date Published2025 Feb
ISSN1791-7530
KeywordsAdenocarcinoma, Adult, Class I Phosphatidylinositol 3-Kinases, Humans, Male, Mutation, Tuberous Sclerosis Complex 2 Protein
Abstract

BACKGROUND/AIM: Mesonephric adenocarcinoma in males is an exceptionally rare malignancy arising from mesonephric remnants. Accurate diagnosis requires thorough histopathological and molecular analysis.

CASE REPORT: A 33-year-old male presented with right lower quadrant pain, and imaging revealed a pelvic mass compressing adjacent structures. Biopsy confirmed mesonephric adenocarcinoma. Genetic profiling revealed mutations in tuberous sclerosis complex 2 (TSC2) and phosphatidylinositol-4,5-biphosphate 3-kinase catalytic subunit alpha (PIK3CA), offering potential for targeted therapy.

CONCLUSION: This case highlights the diagnostic and therapeutic challenges of mesonephric adenocarcinoma in males. Molecular profiling provided insights into tumor biology and potential targeted treatments. Multidisciplinary collaboration and surveillance remain essential for managing rare malignancies effectively.

DOI10.21873/anticanres.17449
Alternate JournalAnticancer Res
PubMed ID39890190

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