[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"article-detail":3,"wwai-promo-links":53},{"lang":4,"article":5,"alternate":19,"related":24,"latest":33},"en",{"id":6,"slug":7,"title":8,"content":9,"summary":10,"thumbnail":11,"metaDescription":12,"metaKeywords":13,"created":14,"modified":14,"author":15,"authorEn":15,"categoryId":16,"commentCount":17,"thumbnailToContent":18},13713,"cancer-spread-between-twins-womb","Can Cancer Spread Between Identical Twins in the Womb?","\u003Cp style=\"margin:0 0 18px;\">Two sisters died of the same cancer before their first birthday — and the tumour cells never started in both of them. Amelia and Amaya were identical twins sharing one placenta. Somewhere before birth, cancer crossed from one fetus into the other. The evidence that solved the case was not an image. It was DNA.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261107\u002Fc99667510c3a4fc68aa1ee62181be658.webp\" alt=\"img_01.webp\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>Two twins, one placenta, one tumour\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Amelia and Amaya were monochorionic diamniotic twins: separate amniotic sacs, but a single shared placenta. Pregnancy was uneventful until week 33, when a fetal MRI revealed a mass on the face of Twin A. Both girls were delivered by caesarean section at 34 weeks.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The disease was already far beyond the face. Twin A had lesions in her brain and liver. Twin B was born with skin nodules that later spread to the leptomeninges, and at eight weeks of life she suffered an intracranial haemorrhage. Both babies died shortly after birth. Their parents allowed the bodies to be studied, which is how scientists obtained the tumours, normal tissue and placenta of both children at the same time.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Was this one cancer happening twice in two genetically identical children, or one cancer that had moved between them? The two possibilities look identical under a microscope.\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>A diagnosis with no name yet\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">The skin lesions looked almost alike in both sisters: ill-defined subcutaneous nodules packed with small round blue cells and active mitoses, but with no sign of a specific differentiation. Many childhood cancers can wear that look.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Immunohistochemistry narrowed it down. The cells strongly expressed CD56, but that alone is not enough for neuroblastoma; PHOX2B and myogenic markers were negative, ruling out neuroblastoma and rhabdomyosarcoma. The most consistent diagnosis was undifferentiated sarcoma.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Then the molecular result landed. Every tumour sample from both girls carried the same gene fusion — MN1 and ZNF341 — confirmed by RNA sequencing. Same pathology, same driving fusion: the two tumours were connected. But for identical twins, that still left the decisive question open — did the cancers arise independently, or share a single origin?\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261107\u002F14b99565facd495b835c65ba6e27cc17.webp\" alt=\"img_02.webp\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>DNA as the birth certificate\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Identical twins come from one fertilised egg, so their genomes are nearly identical — but not every cell stays identical forever. During development, cells keep dividing and quietly accumulate new somatic mutations. A mutation that appears in one cell is inherited by that cell's descendants. Compare where the mutations sit across tissues, and you can recognise different cell lineages and trace their common ancestor.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">That was the plan. The team sequenced whole genomes from 45 samples — tumours, normal tissues, and placenta — and used laser microdissection to enrich trophoblast cells from the placenta for testing.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The result was unambiguous. Whether the tumour came from Twin A or Twin B, it carried developmental mutations marking the A-derived lineage. The tumour cells inside Twin B's body retained the genetic fingerprint of Twin A's cell line. The cancer began in Twin A and later spread to Twin B. The mass on Twin A's face was almost certainly the primary site.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261107\u002F412655ed423445d092d50e6287e197f5.webp\" alt=\"img_03.webp\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>When and how the cancer crossed\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">One detail exposed the timing. Twin A's tumour had already branched into multiple lineages, with different branches seeding different organs — a cancer that had developed in her for a long time. Twin B's skin and intracranial tumours contained only a subset of those branches, closely related to each other. If the twins had developed cancer independently, Twin B's tumour would not look like a clipped slice of Twin A's. The cleanest explanation: a single, relatively late in-utero transfer carried a batch of cancer cells wholesale into Twin B. At least two different cell branches were involved, so the transfer likely involved more than one tumour cell.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">Mutations accumulate at a roughly steady rate during cell division, which gave a timeline. The gene fusion that drove the tumour formed around the end of the first trimester. The transfer to Twin B happened in the later part of the second trimester. When the week-33 MRI spotted the facial mass, the cancer cells were probably already inside Twin B — just not yet symptomatic.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The route was the placenta. The twins shared it, and its blood vessels connected them, allowing blood and cells to travel both ways. A striking side-finding supported this: about three-quarters of the cells in one spleen sample from Twin A carried Twin B's genetic markers. Twin B's blood cells had flooded Twin A's body. Note the direction of the two flows — blood mixing ran mostly B to A, while tumour spread ran A to B. Because every cell carries the marker of its origin, the intertwined two-way traffic could be untangled.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">\u003Cimg src=\"\u002Fattachment\u002F20261107\u002F8e5442c264ed41c3b2cd2e9fd2618055.webp\" alt=\"Tumour lineage timeline showing the MN1 fusion and the point of transfer, twin cancer spread diagram\">\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>A bonus finding about twins themselves\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">To trace the tumour, the team first reconstructed the normal developmental lineages of both fetuses — and that groundwork produced a finding beyond cancer. The classical model says identical twins come from a clump of cells that splits in half, with each twin contributing equally. This analysis found the opposite: early cell contributions were unequal. One lineage made almost all of Twin A. Another helped build both fetuses and the placenta. A third mainly made Twin B and the placenta, and B-derived cells dominated the placenta samples.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">That pattern suggests the embryos separated far earlier in development than the classical model predicts. It is one case, and the placenta was not fully sampled — the conclusion needs more data. But it is a reminder that a single patient story can quietly revise what textbooks say.\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>Why twins matter to cancer research\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">Solid tumours spreading between twins had been reported only a handful of times, never studied in detail. Even the best-studied case — leukaemia — is tracked by only a few teams worldwide. Twins are a natural laboratory: they share genes and a uterine environment, yet develop separately.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The most systematic work comes from the Institute of Cancer Research in London. A study published in \u003Ci>Leukemia\u003C\u002Fi> followed nearly ten pairs of \"discordant\" identical twins — where only one twin had acute lymphoblastic leukaemia (ALL), the most common childhood cancer, about 80% of childhood leukaemias — for up to 15 years. When identical twins share a placenta, the healthy twin's risk was about 15% to 25%. For fraternal twins and other siblings, it was under 1%.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The study also supported the \"two-hit\" model: the first mutation happens in the womb and spreads to both fetuses through the shared placenta; the second happens after birth, likely triggered by a common childhood infection. Many children are born carrying tiny \"pre-leukaemic\" clones — most will never develop the disease. The practical advice that follows: if one twin is diagnosed, the other can be tested for pre-leukaemic cells every three months for the first year, then less often; risk is highest in the first 18 months after diagnosis, and screening usually stops after age ten. The first step, though, is confirming the placenta type — only about 60% of identical twins share one.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The rarer direction is mother-to-fetus. About one in a thousand pregnant women develops cancer, but documented transplacental spread to the fetus numbers only a few dozen cases worldwide — leukaemia, melanoma, lymphoma among them. Twin studies and these isolated cases point to the same lesson: cancer has developmental origins, and the placenta is not an absolute barrier.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">The authors dedicated the paper to Amelia and Amaya, and wrote their names at the mother's request. The research the family allowed has left a thread that medicine can keep pulling — a cancer whose whole story, from origin to spread, was written before birth.\u003C\u002Fp>\n\u003Cdiv class=\"dp-template-card\" style=\"border-radius:8px;box-shadow:0 2px 8px rgba(0,0,0,0.1);margin:10px 0;max-width:100%;overflow:hidden;width:100%;\">\n \u003Ca style=\"display:block;text-decoration:none;\" href=\"https:\u002F\u002Fyun-hub.chat\u002Flink\u002F?app=wwai&clickid=stellarx&dplink=specimenid%3D1212\" target=\"_blank\">\u003Cimg class=\"image_resized\" style=\"display:block;height:auto;max-width:100%;width:100%;\" src=\"\u002Fattachment\u002F20261027\u002F6b03875138a0485aac2b260f143d99d2.png\" alt=\"6b03875138a0485aac2b260f143d99d2\">\n  \u003Cbutton style=\"align-items:center;background-color:#19c8bc;border-radius:0 0 25px 25px;border-style:none;color:#100f0f;cursor:pointer;display:flex;font-family:Arial;font-size:20px;height:40px;justify-content:center;padding:0;width:100%;\">Get the Wwai App\u003C\u002Fbutton>\u003C\u002Fa>\n\u003C\u002Fdiv>\n\u003Cp style=\"margin:0 0 18px;\">Want to see what dividing cells actually look like? Grab a Paramecium binary fission specimen under a virtual microscope — the slipper-shaped body constricting in the middle shows the division stage clearly — and explore more biology on stellarx.\u003C\u002Fp>\n\u003Cp style=\"color:#111;margin:28px 0 8px;\">\u003Cstrong>Related reading\u003C\u002Fstrong>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fcancer-cell-division-price-vtkc\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261005\u002F19e0d61c6a8c4d4ab5712fa2c2b58a2a.webp\" alt=\"Cancer: Why a Body Without It Dies Young\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fcancer-cell-division-price-vtkc\">\u003Cstrong>Cancer: Why a Body Without It Dies Young\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fcolon-polyps-cancer-risk-bwxt\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Faka.doubaocdn.com\u002Fs\u002FKPCDldwDSP\" alt=\"Polyps: Which Ones Become Cancer?\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fcolon-polyps-cancer-risk-bwxt\">\u003Cstrong>Polyps: Which Ones Become Cancer?\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fvitamin-d3-metastatic-colorectal-cancer-sunshine-solaris-trial\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20260929\u002Fa59436c903e0404b9c27a13dfa1fb7fd.webp\" alt=\"Vitamin D3 and Cancer: The SOLARIS Trial Verdict\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fvitamin-d3-metastatic-colorectal-cancer-sunshine-solaris-trial\">\u003Cstrong>Vitamin D3 and Cancer: The SOLARIS Trial Verdict\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 20px;\">\u003Ca style=\"color:#111;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fmitochondrial-dna-endosymbiosis-hbck\">\u003Cimg class=\"image_resized\" style=\"border-radius:8px;display:block;height:auto;margin-bottom:6px;max-width:520px;width:100%;\" src=\"https:\u002F\u002Fcdn.banyunjuhe.com\u002Fattachment\u002F20261001\u002Ff3cd7f3b06cf4354bc7cb2d3490dd163.webp\" alt=\"Why Mitochondria Keep Their Own DNA\">\u003C\u002Fa>\u003Cbr>\u003Ca style=\"color:#0b6cb0;text-decoration:none;\" href=\"https:\u002F\u002Fstellarx.tech\u002Farticle\u002Fmitochondrial-dna-endosymbiosis-hbck\">\u003Cstrong>Why Mitochondria Keep Their Own DNA\u003C\u002Fstrong>\u003C\u002Fa>\u003C\u002Fp>\n\u003Ch2 style=\"color:#111;font-size:21px;line-height:1.4;margin:28px 0 12px;\">\u003Cstrong>References\u003C\u002Fstrong>\u003C\u002Fh2>\n\u003Cp style=\"margin:0 0 18px;\">1. Walkowiak B, et al. Embryonic origin of cancer in newborn twins. \u003Ci>Nature Communications\u003C\u002Fi>, 2026. DOI: 10.1038\u002Fs41467-026-78178-5.\u003C\u002Fp>\n\u003Cp style=\"margin:0 0 18px;\">2. Ford AM, Colman S, Greaves M. Covert pre-leukaemic clones in healthy co-twins of patients with childhood acute lymphoblastic leukaemia. \u003Ci>Leukemia\u003C\u002Fi>, 2023, 37(1): 47-52. DOI: 10.1038\u002Fs41375-022-01756-1.\u003C\u002Fp>","","\u002Fattachment\u002F20261107\u002F74084088e4844487951f04ca73bb604f.webp","Cancer can spread between identical twins before birth: a shared placenta let one twin's tumour cells reach the other. DNA shows when and how it happened.","twin to twin cancer transmission, cancer in identical twins, cancer spread between twins, shared placenta twins, transplacental cancer spread, pre-leukaemic cells in twins, two-hit model leukaemia, embryonic origin of cancer, 雙胞胎腫瘤, 共享胎盤","2026-11-07 20:05:13","Science Guide Wwai",77,0,true,{"id":20,"slug":21,"title":22,"lang":23},13714,"cancer-spread-between-twins-zhxp","雙胞胎腫瘤跨胎傳播：癌症如何從一個胎兒傳給另一個？","zh",{"prev":25,"next":29},{"id":26,"slug":27,"title":28,"categoryId":16},13715,"thirst-quench-mechanism-brain-nzqp","Why a Sip of Water Kills Thirst Before Your Blood Sees It",{"id":30,"slug":31,"title":32,"categoryId":16},13711,"gluteus-maximus-longevity-muscle","The 'Longevity Muscle': Weak Glutes Decide How You Fall",[34,38,43,48],{"id":35,"slug":36,"title":37,"categoryId":16},13727,"sex-frequency-menopause-delay","Weekly Sex Delays Menopause — 2,936 Women, 10 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