Source:http://linkedlifedata.com/resource/pubmed/id/15166510
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2004-5-28
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pubmed:abstractText |
Muir-Torre syndrome (MTS) is an autosomal dominantly inherited disorder characterized by sebaceous lesions and visceral malignancies. The defect is thought to be the result of a mutation in mismatch repair genes and associated with microsatellite instability. Two cases whose diagnoses were suggested first by the dermatopathologist are discussed. The first is a 47-year-old white man who over the past 6 years developed multiple sebaceous lesions. Due to the number of sebaceous lesions and their morphology, the possible diagnosis of MTS was suggested by the dermatopathologist. Subsequently, a lesion in the right colon was found during colonoscopy that proved to be a poorly differentiated cecal adenocarcinoma. A pedigree analysis revealed other family members afflicted with multiple malignancies. Genetic testing of the colonic adenocarcinoma showed microsatellite instability. The second patient is a 50-year-old white man who underwent biopsy of a skin lesion that showed features of both a sebaceous hyperplasia and sebaceous adenoma. Because of the mixed, unusual features of the lesion, the dermatopathologist suggested the diagnosis of MTS. It was later confirmed that the patient had a history of malignancies of the colon and kidney as well as a family history significant for multiple malignant neoplasms. These cases demonstrate the important role of the dermatopathologist in alerting the clinician to the possibility of Muir-Torre syndrome when the diagnosis of a sebaceous neoplasm is made, especially when unusual histologic features are observed.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0193-1091
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
26
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
217-21
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:15166510-Adenocarcinoma, Sebaceous,
pubmed-meshheading:15166510-Colonic Neoplasms,
pubmed-meshheading:15166510-DNA, Neoplasm,
pubmed-meshheading:15166510-DNA Mutational Analysis,
pubmed-meshheading:15166510-Dermatology,
pubmed-meshheading:15166510-Family Health,
pubmed-meshheading:15166510-Humans,
pubmed-meshheading:15166510-Male,
pubmed-meshheading:15166510-Microsatellite Repeats,
pubmed-meshheading:15166510-Middle Aged,
pubmed-meshheading:15166510-Pathology,
pubmed-meshheading:15166510-Pedigree,
pubmed-meshheading:15166510-Sebaceous Gland Neoplasms,
pubmed-meshheading:15166510-Syndrome
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pubmed:year |
2004
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pubmed:articleTitle |
Muir-Torre syndrome: role of the dermatopathologist in diagnosis.
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pubmed:affiliation |
Division of Dermatopathology, Department of Dermatology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
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pubmed:publicationType |
Journal Article,
Case Reports
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