The present report describes an example of multifocal (two) yolk sac tumor (YST) with mesenchyme-like and enteroid patterns found in the placenta (730 g) of a newborn (4200 g) with Wiedemann-Beckwith syndrome (WBS) phenotype (macroglossia, omphalocele, hemihypertrophy, cardiomegaly, hypoglycemia). YST has not been previously reported to develop in the placenta. This case expands further the spectrum of alterations found in the placenta in the WBS and fits in the list of tumors related to WBS.
LageJM. Placentomegaly with massive hydrops of placental stem villi, diploid DNA content, and fetal omphaloceles: possible association with Beckwith-Wiedemann syndrome. Hum Pathol1991;22:591–597.
7.
DrutRM, DrutR.Nonimmune fetal hydrops and placentomegaly: diagnosis of familial Wiedemann-Beckwith syndrome with trisomy 11p15 using FISH. Am J Med Genet1996;62:145–149.
8.
DrutR, DrutRM, ToulouseJC. Hepatic hemangioendotheliomas, placental chorioangiomas and dysmorphic kidneys in Beckwith-Wiedemann syndrome. Pediatr Pathol1992;12:197–203.
MichaelH, UlbrightTM, BrodheckerCA. The pluripotential nature of the mesenchyme-like component of yolk sac tumor. Arch Pathol Lab Med1989;113:1115–1119.
11.
UlbrightTM, MichaelH, LoehrerPJ, DonohueJP. Spindle cell tumors resected from male patients with germ cell tumors. A clinicopathologic study of 14 cases. Cancer1990;65:148–156.
12.
PerroneT, SteeperTA, DehnerLP. Alpha-fetoprotein localization in pure ovarian teratoma. An immunohistochemical study of 12 cases. Am J Clin Pathol1987;88:713–717.
13.
UlbrightTM, RothLM, BrodheckerCA. Yolk sac differentiation in germ cell tumors. A morphologic study of 50 cases with emphasis on hepatic, enteric, and parietal yolk sac features. Am J Surg Pathol1986;10:151–164.