Muir-Torre Syndrome: case report and molecular characterization

CONTEXT: Muir-Torre syndrome is a rare autosomal dominant genodermatosis caused by mutations in the mismatch repair genes. It is characterized by the presence of sebaceous skin tumors and internal malignancies, affecting mainly the colon, rectum and urogenital tract. Awareness of this syndrome amon...

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Main Authors: Carolina Alejandra Rios, Ricardo Villalon, Jorge Munoz, Monica Acuna, Lucia Cifuentes
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000100061&lng=en&tlng=en
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author Carolina Alejandra Rios
Ricardo Villalon
Jorge Munoz
Monica Acuna
Lucia Cifuentes
author_facet Carolina Alejandra Rios
Ricardo Villalon
Jorge Munoz
Monica Acuna
Lucia Cifuentes
author_sort Carolina Alejandra Rios
collection DOAJ
description CONTEXT: Muir-Torre syndrome is a rare autosomal dominant genodermatosis caused by mutations in the mismatch repair genes. It is characterized by the presence of sebaceous skin tumors and internal malignancies, affecting mainly the colon, rectum and urogenital tract. Awareness of this syndrome among physicians can lead to early diagnosis of these malignancies and a better prognosis. CASE REPORT: We report the case of a Chilean patient who, over the course of several years, had multiple skin lesions, endometrial cancer and colon cancer. The syndrome was diagnosed using molecular techniques such as microsatellite instability analysis, immunohistochemistry and DNA sequencing, which allowed us to find the causative mutation. CONCLUSION: Molecular diagnostics is a highly useful tool, since it allows clinicians to confirm the presence of mutations causing Muir-Torre syndrome. It is complementary to the analysis of the clinical data, such as dermatological presentation, presence of visceral malignancies and family history of colorectal tumors, and it provides important knowledge to help physicians and patients choose between treatment options.
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spelling doaj.art-e29488545c2d47f7bc86974fcddfb9d22022-12-21T23:57:10ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94601321616410.1590/1516-3180.2014.1321634S1516-31802014000100061Muir-Torre Syndrome: case report and molecular characterizationCarolina Alejandra RiosRicardo VillalonJorge MunozMonica AcunaLucia CifuentesCONTEXT: Muir-Torre syndrome is a rare autosomal dominant genodermatosis caused by mutations in the mismatch repair genes. It is characterized by the presence of sebaceous skin tumors and internal malignancies, affecting mainly the colon, rectum and urogenital tract. Awareness of this syndrome among physicians can lead to early diagnosis of these malignancies and a better prognosis. CASE REPORT: We report the case of a Chilean patient who, over the course of several years, had multiple skin lesions, endometrial cancer and colon cancer. The syndrome was diagnosed using molecular techniques such as microsatellite instability analysis, immunohistochemistry and DNA sequencing, which allowed us to find the causative mutation. CONCLUSION: Molecular diagnostics is a highly useful tool, since it allows clinicians to confirm the presence of mutations causing Muir-Torre syndrome. It is complementary to the analysis of the clinical data, such as dermatological presentation, presence of visceral malignancies and family history of colorectal tumors, and it provides important knowledge to help physicians and patients choose between treatment options.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000100061&lng=en&tlng=enMuir-Torre syndromeColorectal neoplasms, hereditary nonpolyposisPathology, molecularMicrosatellite instabilityMutation
spellingShingle Carolina Alejandra Rios
Ricardo Villalon
Jorge Munoz
Monica Acuna
Lucia Cifuentes
Muir-Torre Syndrome: case report and molecular characterization
São Paulo Medical Journal
Muir-Torre syndrome
Colorectal neoplasms, hereditary nonpolyposis
Pathology, molecular
Microsatellite instability
Mutation
title Muir-Torre Syndrome: case report and molecular characterization
title_full Muir-Torre Syndrome: case report and molecular characterization
title_fullStr Muir-Torre Syndrome: case report and molecular characterization
title_full_unstemmed Muir-Torre Syndrome: case report and molecular characterization
title_short Muir-Torre Syndrome: case report and molecular characterization
title_sort muir torre syndrome case report and molecular characterization
topic Muir-Torre syndrome
Colorectal neoplasms, hereditary nonpolyposis
Pathology, molecular
Microsatellite instability
Mutation
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000100061&lng=en&tlng=en
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AT jorgemunoz muirtorresyndromecasereportandmolecularcharacterization
AT monicaacuna muirtorresyndromecasereportandmolecularcharacterization
AT luciacifuentes muirtorresyndromecasereportandmolecularcharacterization