Hypopigmented Junctional BAP1-Inactivated Melanocytoma: A Paradigm Shift.

IF 1.6 4区 医学 Q3 DERMATOLOGY
Ali Gunesch, Iwei Yeh, Timothy McCalmont, Elizabeth Berry, Gretchen Vanderbeek, Kevin P White
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引用次数: 0

Abstract

Since their original description by Wiesner et al., the spectrum of clinical, histopathologic, and molecular findings of BAP1 (BRCA1-associated protein 1)-inactivated melanocytomas has been more fully characterized. Herein, we report an exceptional presentation of multiple junctional melanocytic BAP1-inactivated melanocytomas with a clinically hypopigmented appearance in a patient. Targeted DNA sequencing demonstrated the same BAP1 frameshift mutation (BAP1 p.R59f) in three different lesions. One of the specimens also displayed two truncating mutations in NF1 (NF1 p.Q129* and NF1 p.Q1801*) at 8%-9% mutant allele frequency. To our knowledge, BIM confined entirely to the epidermis, and multiple BIMs presenting in hypopigmented fashion have not been widely reported previously.

低色素沉着的连接bap1失活黑色素细胞瘤:一种范式转变。
自Wiesner等人最初描述黑素细胞瘤以来,BAP1 (brca1相关蛋白1)失活黑素细胞瘤的临床、组织病理学和分子特征谱已经得到了更充分的表征。在这里,我们报告了一个特殊的表现,多个交界黑色素细胞bap1失活的黑色素细胞瘤,临床表现为色素沉着。靶向DNA测序显示在三个不同的病变中存在相同的BAP1移码突变(BAP1 p.R59f)。其中一份标本在8%-9%的突变等位基因频率上也显示出两个截断突变(NF1 p.Q129*和NF1 p.Q1801*)。据我们所知,BIM完全局限于表皮,并且多个BIM以低色素的方式呈现,此前尚未广泛报道。
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来源期刊
CiteScore
3.20
自引率
5.90%
发文量
174
审稿时长
3-8 weeks
期刊介绍: Journal of Cutaneous Pathology publishes manuscripts broadly relevant to diseases of the skin and mucosae, with the aims of advancing scientific knowledge regarding dermatopathology and enhancing the communication between clinical practitioners and research scientists. Original scientific manuscripts on diagnostic and experimental cutaneous pathology are especially desirable. Timely, pertinent review articles also will be given high priority. Manuscripts based on light, fluorescence, and electron microscopy, histochemistry, immunology, molecular biology, and genetics, as well as allied sciences, are all welcome, provided their principal focus is on cutaneous pathology. Publication time will be kept as short as possible, ensuring that articles will be quickly available to all interested in this speciality.
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