About: Synchronous gastric and sebaceous cancers, a rare manifestation of MLH1-related Muir-Torre syndrome     Goto   Sponge   NotDistinct   Permalink

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Description
  • Muir-Torre syndrome (MTS), a rare variant of the hereditary non polyposis colorectal cancer syndrome, is an autosomal dominant genodermatosis characterised by coincidence of sebaceous gland neoplasms (sebaceous adenoma, epithelioma, or carcinoma) and at least one internal malignancy. The underlying cause of MTS is a germline mutation in DNA mismatch repair genes MSH2, MLH1 and MSH6. We report the case of a 52-year-old caucasian woman with the development of metachronous colon cancer at the age of 38 years, uterine cancer at the age of 43 years, and unique occurrence of synchronous gastric and sebaceous carcinomas related to germline point mutation c. 2194A>T in the last exon of MLH1 gene, resulting in truncated protein in C-terminal region p. Lys732X due to premature stop codon. This mutation, not previously reported in MTS, disrupts the function of MutL complexes presumably by preventing the interaction with PMS1/PMS2 and impairing the endonuclease active site. This case points out the importance of sebaceous neoplasia, especially sebaceous adenocarcinoma, as cutaneous markers of MTS for timely implementation of cancer screening programs.
  • Muir-Torre syndrome (MTS), a rare variant of the hereditary non polyposis colorectal cancer syndrome, is an autosomal dominant genodermatosis characterised by coincidence of sebaceous gland neoplasms (sebaceous adenoma, epithelioma, or carcinoma) and at least one internal malignancy. The underlying cause of MTS is a germline mutation in DNA mismatch repair genes MSH2, MLH1 and MSH6. We report the case of a 52-year-old caucasian woman with the development of metachronous colon cancer at the age of 38 years, uterine cancer at the age of 43 years, and unique occurrence of synchronous gastric and sebaceous carcinomas related to germline point mutation c. 2194A>T in the last exon of MLH1 gene, resulting in truncated protein in C-terminal region p. Lys732X due to premature stop codon. This mutation, not previously reported in MTS, disrupts the function of MutL complexes presumably by preventing the interaction with PMS1/PMS2 and impairing the endonuclease active site. This case points out the importance of sebaceous neoplasia, especially sebaceous adenocarcinoma, as cutaneous markers of MTS for timely implementation of cancer screening programs. (en)
Title
  • Synchronous gastric and sebaceous cancers, a rare manifestation of MLH1-related Muir-Torre syndrome
  • Synchronous gastric and sebaceous cancers, a rare manifestation of MLH1-related Muir-Torre syndrome (en)
skos:prefLabel
  • Synchronous gastric and sebaceous cancers, a rare manifestation of MLH1-related Muir-Torre syndrome
  • Synchronous gastric and sebaceous cancers, a rare manifestation of MLH1-related Muir-Torre syndrome (en)
skos:notation
  • RIV/00216208:11120/14:43908878!RIV15-MSM-11120___
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  • I
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  • 8
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  • 48905
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  • RIV/00216208:11120/14:43908878
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  • sebaceous adenocarcinoma; gastric cancer; germline mutation; MLH1; Muir-Torre syndrome (en)
http://linked.open.../riv/klicoveSlovo
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  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [6E94A800155E]
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  • International Journal of Clinical and Experimental Pathology
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  • 7
http://linked.open...iv/tvurceVysledku
  • Švec, Jiří
  • Mandys, Václav
  • Kment, Milan
http://linked.open...ain/vavai/riv/wos
  • 000345120900069
issn
  • 1936-2625
number of pages
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  • 11120
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