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一名成年印度男性的家族性非典型多发性痣黑色素瘤综合征——病例报告及文献综述

Familial atypical multiple mole melanoma syndrome in an adult Indian male-case report and literature review.

作者信息

Raj Radhika Cg, Patil Rajesh

机构信息

Department of Surgery, Goa Medical College, Bambolim, Goa, India.

Goa Medical College, Bambolim, Goa, India.

出版信息

Indian J Dermatol. 2015 Mar-Apr;60(2):217. doi: 10.4103/0019-5154.152585.

DOI:10.4103/0019-5154.152585
PMID:25814760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4372964/
Abstract

Familial atypical multiple mole melanoma syndrome (FAMMMS) is an autosomal dominant genodermatosis characterized by multiple melanocytic nevi, usually more than 50, and a family history of melanoma. It is known to be associated with carcinoma of pancreas and other malignancies involving gastrointestinal tract, breast, lung, larynx, and skin in the kindred. There is no published report of FAMMMS in dark-skinned individuals. We report a case of FAMMMS in a dark-skinned adult Indian male, who had multiple extensive nevi all over the body and oral mucosa; associated with malignant melanoma, squamous cell carcinoma (Marjolin's ulcer), and carcinoma of pancreas. His father had died of carcinoma of lung and his sister had a partial phenotypic expression. The clinical presentation of the case is discussed with review of literature.

摘要

家族性非典型多发性痣黑色素瘤综合征(FAMMMS)是一种常染色体显性遗传性皮肤病,其特征为多发性黑素细胞痣,通常超过50个,并有黑色素瘤家族史。已知在该家族中,它与胰腺癌及其他涉及胃肠道、乳腺、肺、喉和皮肤的恶性肿瘤有关。尚无关于深色皮肤个体患FAMMMS的报道。我们报告一例深色皮肤的成年印度男性患FAMMMS的病例,该患者全身及口腔黏膜有多处广泛的痣;伴有恶性黑色素瘤、鳞状细胞癌(Marjolin溃疡)和胰腺癌。他的父亲死于肺癌,他的妹妹有部分表型表达。结合文献复习对该病例的临床表现进行了讨论。

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本文引用的文献

1
Ectopic expression of tyrosinase increases melanin synthesis and cell death following UVB irradiation in fibroblasts from familial atypical multiple mole and melanoma (FAMMM) patients.
Melanoma Res. 2004 Oct;14(5):387-94. doi: 10.1097/00008390-200410000-00009.
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FAMMM syndrome: pathogenesis and management.家族性非典型性多发痣黑素瘤综合征:发病机制与治疗
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Characterization of the neoplastic phenotype in the familial atypical multiple-mole melanoma-pancreatic carcinoma syndrome.家族性非典型多痣黑色素瘤-胰腺癌综合征中肿瘤表型的特征分析。
Cancer. 2003 Aug 15;98(4):798-804. doi: 10.1002/cncr.11562.
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Clinical and histopathological features of malignant melanoma in germline CDKN2A mutation families.
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Phenotypic variation in eight extended CDKN2A germline mutation familial atypical multiple mole melanoma-pancreatic carcinoma-prone families: the familial atypical mole melanoma-pancreatic carcinoma syndrome.八个携带CDKN2A种系突变的扩展性家族性非典型多发性痣黑色素瘤-胰腺癌易感家族的表型变异:家族性非典型痣黑色素瘤-胰腺癌综合征
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Genotype-phenotype relationships in U.S. melanoma-prone families with CDKN2A and CDK4 mutations.美国携带CDKN2A和CDK4突变的黑素瘤易感家族中的基因型-表型关系。
J Natl Cancer Inst. 2000 Jun 21;92(12):1006-10. doi: 10.1093/jnci/92.12.1006.
8
Counseling and DNA testing for individuals perceived to be genetically predisposed to melanoma: A consensus statement of the Melanoma Genetics Consortium.对被认为有黑色素瘤遗传易感性个体的咨询与DNA检测:黑色素瘤遗传学联盟的共识声明
J Clin Oncol. 1999 Oct;17(10):3245-51. doi: 10.1200/JCO.1999.17.10.3245.
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Heredity and malignant melanoma: implications for early cancer detection.遗传与恶性黑色素瘤:对早期癌症检测的影响
Can Med Assoc J. 1968 Jul 6;99(1):17-21.
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Hereditary melanoma and the dysplastic nevus syndrome: the risk of cancers other than melanoma.遗传性黑色素瘤与发育异常痣综合征:黑色素瘤以外其他癌症的风险
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