Melanoma and basal cell carcinoma in the hereditary leiomyomatosis and renal cell cancer syndrome. An expansion of the oncologic spectrum.

Lacy L Sommer, Rhonda E Schnur, Warren R Heymann
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引用次数: 2

Abstract

Background: Hereditary leiomyomatosis and renal cell cancer syndrome (HLRCC) is an autosomal dominant syndrome due to mutation in fumarate hydratase. Patients with HLRCC frequently develop cutaneous and uterine leiomyomata and are at risk for renal cell carcinoma. Rarely, other malignancies have been reported.

Main observations: We report the development of basal cell carcinoma and melanoma in two siblings with genetically-confirmed HLRCC.

Conclusions: It is unclear whether the development of melanoma and basal cell carcinoma in our patients is due directly to their mutations in the gene encoding fumarate hydratase, or genetic susceptibility at another unrelated locus, or whether these are incidental lesions. However this observation has implications for careful and routine skin surveillance in patients with HLRCC for lesions other than cutaneous leiomyomata.

Abstract Image

黑色素瘤和基底细胞癌在遗传性平滑肌瘤病和肾细胞癌综合征。肿瘤学范围的扩展。
背景:遗传性平滑肌瘤病和肾细胞癌综合征(HLRCC)是由富马酸水合酶突变引起的常染色体显性综合征。HLRCC患者经常发生皮肤和子宫平滑肌瘤,并有发生肾细胞癌的危险。很少有其他恶性肿瘤的报道。主要观察结果:我们报道了两个遗传证实的HLRCC的兄弟姐妹的基底细胞癌和黑色素瘤的发展。结论:目前尚不清楚我们患者的黑色素瘤和基底细胞癌的发展是否直接由于其编码富马酸水合酶的基因突变,或在另一个不相关位点的遗传易感性,或者这些是否是偶然的病变。然而,这一观察结果对除皮肤平滑肌瘤外的其他HLRCC患者进行仔细和常规的皮肤监测具有重要意义。
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