Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2000-8-29
pubmed:abstractText
Sebaceous gland carcinomas (SGCs) are rare malignant skin tumors occurring sporadically or as a phenotypic feature of the Muir-Torre syndrome (MTS). A subset of patients with MTS have a variant of the hereditary nonpolyposis colorectal cancer syndrome caused by mutations in mismatch repair (MMR) genes, which lead to microsatellite instability (MSI). We evaluated the value of MSI and loss of expression of the MMR genes, hMLH-1 and hMSH-2, as a marker to identify and distinguish MTS from sporadic SGC. Using a nationwide pathology report database system, we identified patients with the MTS phenotype. SGCs from 10 MTS patients and the colorectal carcinomas from 3 additional MTS patients were collected. In addition, SGCs from eight patients without a history of visceral neoplasm were collected. MSI was detected in 9 of 13 MTS-associated tumors (69%) versus 0 of 8 sporadic SGCs (P = 0.002). Except for the age of onset of colorectal carcinoma [58 years in the MSI-positive group versus 69.8 years in the MSI-negative group (P = 0.17)], no differences were seen between the MSI-negative and the MSI-positive MTS patients. Loss of expression of hMLH-1 (n = 4) or hMSH-2 (n = 4) was found in MSI-positive patients only. MSI and loss of expression of MMR genes can be used as markers for MTS in patients with SGC. Consequently, MSI and loss of MMR gene expression in a patient presenting with SGC as the initial malignancy have important consequences for the patient and family. There are at least two variants of MTS with different molecular genetic mechanisms because 31% of the patients with the MTS phenotype had no MSI.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/Adaptor Proteins, Signal Transducing, http://linkedlifedata.com/resource/pubmed/chemical/Biological Markers, http://linkedlifedata.com/resource/pubmed/chemical/Carrier Proteins, http://linkedlifedata.com/resource/pubmed/chemical/DNA, Neoplasm, http://linkedlifedata.com/resource/pubmed/chemical/DNA-Binding Proteins, http://linkedlifedata.com/resource/pubmed/chemical/MLH1 protein, human, http://linkedlifedata.com/resource/pubmed/chemical/MSH2 protein, human, http://linkedlifedata.com/resource/pubmed/chemical/MutS Homolog 2 Protein, http://linkedlifedata.com/resource/pubmed/chemical/Neoplasm Proteins, http://linkedlifedata.com/resource/pubmed/chemical/Nuclear Proteins, http://linkedlifedata.com/resource/pubmed/chemical/Proto-Oncogene Proteins
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
1078-0432
pubmed:author
pubmed:issnType
Print
pubmed:volume
6
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1784-9
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed-meshheading:10815898-Adaptor Proteins, Signal Transducing, pubmed-meshheading:10815898-Adolescent, pubmed-meshheading:10815898-Adult, pubmed-meshheading:10815898-Aged, pubmed-meshheading:10815898-Aged, 80 and over, pubmed-meshheading:10815898-Biological Markers, pubmed-meshheading:10815898-Carrier Proteins, pubmed-meshheading:10815898-Colorectal Neoplasms, pubmed-meshheading:10815898-DNA, Neoplasm, pubmed-meshheading:10815898-DNA-Binding Proteins, pubmed-meshheading:10815898-Female, pubmed-meshheading:10815898-Humans, pubmed-meshheading:10815898-Immunohistochemistry, pubmed-meshheading:10815898-Male, pubmed-meshheading:10815898-Microsatellite Repeats, pubmed-meshheading:10815898-Middle Aged, pubmed-meshheading:10815898-MutS Homolog 2 Protein, pubmed-meshheading:10815898-Neoplasm Proteins, pubmed-meshheading:10815898-Nuclear Proteins, pubmed-meshheading:10815898-Proto-Oncogene Proteins, pubmed-meshheading:10815898-Sebaceous Gland Neoplasms, pubmed-meshheading:10815898-Syndrome
pubmed:year
2000
pubmed:articleTitle
Microsatellite instability and expression of hMLH-1 and hMSH-2 in sebaceous gland carcinomas as markers for Muir-Torre syndrome.
pubmed:affiliation
Academic Medical Center, Department of Pathology, Amsterdam, The Netherlands.
pubmed:publicationType
Journal Article, Case Reports, Research Support, Non-U.S. Gov't