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PTEN Mutation Identified in Patient Diagnosed with Simultaneous Multiple Cancers

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초록

PTEN hamartoma tumor syndrome is a spectrum of disorders characterized by unique phenotypic features including multiple hamartomas caused by mutations of the tumor suppressor gene PTEN. Cowden syndrome and Bannayan–Riley–Ruvalcaba syndrome are representative diseases, and both have several common clinical features and differences. Because PTEN mutations are associated with an increased risk of malignancy including breast, thyroid, endometrial, and renal cancers, cancer surveillance is an important element of disease management. We report a germline mutation of the PTEN (c.723dupT, exon 7) identified in a young woman with a simultaneous occurrence of breast cancer, dermatofibrosarcoma protuberans, and follicular neoplasm. This case suggests that it is critical for clinicians to recognize the phenotypic features associated with these syndromes to accurately diagnose them and provide preventive care.

Abstract

PTEN hamartoma tumor syndrome is a spectrum of disorders characterized by unique phenotypic features including multiple hamartomas caused by mutations of the tumor suppressor gene PTEN. Cowden syndrome and Bannayan–Riley–Ruvalcaba syndrome are representative diseases, and both have several common clinical features and differences. Because PTEN mutations are associated with an increased risk of malignancy including breast, thyroid, endometrial, and renal cancers, cancer surveillance is an important element of disease management. We report a germline mutation of the PTEN (c.723dupT, exon 7) identified in a young woman with a simultaneous occurrence of breast cancer, dermatofibrosarcoma protuberans, and follicular neoplasm. This case suggests that it is critical for clinicians to recognize the phenotypic features associated with these syndromes to accurately diagnose them and provide preventive care.

참고문헌 (10)

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  3. Marsh DJ, "Mutation spectrum and genotype-phenotype analyses in Cowden disease and Bannayan-Zonana syndrome, two hamartoma syndromes with germline PTEN mutation", Hum Mol Genet, 7, pp.507~515 (1998)
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  5. Eng C, "PTEN : one gene, many syndromes", Hum Mutat, 22, pp.183~198 (2003)
  6. Yin Y, "PTEN : a new guardian of the genome", Oncogene, 27, pp.5443~5453 (2008)
  7. Marsh DJ, "PTEN mutation spectrum and genotype-phenotype correlations in Bannayan-Riley-Ruvalcaba syndrome suggest a single entity with Cowden syndrome", Hum Mol Genet, 8, pp.1461~1472 (1999)
  8. Lachlan KL, "Cowden syndrome and Bannayan Riley Ruvalcaba syndrome represent one condition with variable expression and age-related penetrance : results of a clinical study of PTEN mutation carriers", J Med Genet, 44, pp.579~585 (2007)
  9. Cheng H, "Multiple thyroid nodules in the lung: metastasis or ectopia?", Diagn Pathol, 10, pp.61~ (2015)
  10. Bubien V, "High cumulative risks of cancer in patients with PTEN hamartoma tumour syndrome", J Med Genet, 50, pp.255~263 (2013)

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