Pathology · Neoplasia (Classification, Carcinogenesis, Tumor Markers, Paraneoplastic)

Anti-Ri antibody (ANNA-2) is a paraneoplastic antibody most characteristically associated with which tumor?

  • A Small cell lung carcinoma
  • B Breast carcinoma
  • C Thymoma
  • D Ovarian teratoma
Correct answer: B. Breast carcinoma

Explanation

Anti-Ri (ANNA-2) antibodies target Nova-1 RNA-binding proteins expressed in neurons and certain breast cancer cells, most classically causing paraneoplastic opsoclonus-myoclonus. The tumor most associated is breast carcinoma (occasionally gynecologic cancers). ANNA-1 (anti-Hu) is linked to small cell lung carcinoma. Anti-NMDAR encephalitis is associated with ovarian teratoma. Thymoma is associated with anti-AChR and anti-muscle-specific kinase antibodies leading to myasthenia gravis.

Reference: Robbins & Cotran Pathologic Basis of Disease, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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