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林奇综合征中的皮肤鳞状细胞癌——一种被忽视的关联

Cutaneous Squamous Cell Carcinoma in Lynch Syndrome - An Overlooked Association.

作者信息

Moorthy Vivek, Sanku Koushik, Singh Harjinder P, Khillan Ratesh, Patel Pathik P

机构信息

Internal Medicine, Kasturba Medical College, Manipal, IND.

Hematology and Oncology, Brooklyn Cancer Care, Brooklyn, USA.

出版信息

Cureus. 2021 Feb 25;13(2):e13553. doi: 10.7759/cureus.13553.

DOI:10.7759/cureus.13553
PMID:33654645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7916637/
Abstract

Lynch syndrome is an autosomal dominant disorder caused by germline mutation affecting mismatch-repair genes. Genetic testing is performed selectively. Diagnosed individuals are to undergo surveillance to detect and manage Lynch syndrome-related cancers early in the course. Muir-Torre syndrome is a phenotypic variant of Lynch syndrome characterized by sebaceous neoplasms, keratoacanthoma, or both in addition to other Lynch syndrome-related cancers. Other neoplasms of the skin, such as squamous cell carcinoma, are not recognized as part of the Lynch syndrome tumor-spectrum. We report a case of cutaneous squamous cell carcinoma occurring in a patient with Lynch syndrome and explore some of the characteristic features and significance of this association.

摘要

林奇综合征是一种常染色体显性疾病,由影响错配修复基因的种系突变引起。选择性地进行基因检测。确诊个体需接受监测,以便在病程早期发现并处理与林奇综合征相关的癌症。穆尔-托雷综合征是林奇综合征的一种表型变异,其特征除了其他与林奇综合征相关的癌症外,还伴有皮脂腺肿瘤、角化棘皮瘤或两者皆有。皮肤的其他肿瘤,如鳞状细胞癌,不被认为是林奇综合征肿瘤谱的一部分。我们报告了一例发生在林奇综合征患者身上的皮肤鳞状细胞癌病例,并探讨了这种关联的一些特征和意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1f/7916637/8eea31c53eb1/cureus-0013-00000013553-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1f/7916637/8eea31c53eb1/cureus-0013-00000013553-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b1f/7916637/8eea31c53eb1/cureus-0013-00000013553-i01.jpg

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引用本文的文献

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Exp Hematol Oncol. 2021 Jun 12;10(1):37. doi: 10.1186/s40164-021-00231-4.

本文引用的文献

1
Metachronous cutaneous squamous cell carcinoma in a young patient as the only presenting symptom to uncover Lynch syndrome with MLH1 Germline mutation.一名年轻患者出现异时性皮肤鳞状细胞癌,作为揭示携带MLH1种系突变的林奇综合征的唯一症状。
Hered Cancer Clin Pract. 2020 Nov 16;18(1):23. doi: 10.1186/s13053-020-00155-w.
2
Keratoacanthomas: A review of excised specimens.角化棘皮瘤:切除标本综述
J Am Acad Dermatol. 2019 Jun;80(6):1794-1796. doi: 10.1016/j.jaad.2019.02.011. Epub 2019 Feb 13.
3
Why is immunotherapy effective (or not) in patients with MSI/MMRD tumors?
为什么免疫疗法对微卫星高度不稳定/错配修复缺陷(MSI/MMRD)肿瘤患者有效(或无效)?
Bull Cancer. 2019 Feb;106(2):105-113. doi: 10.1016/j.bulcan.2018.08.007. Epub 2018 Oct 17.
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Lynch Syndrome: Genomics Update and Imaging Review.林奇综合征:基因组学更新与影像学评价。
Radiographics. 2018 Mar-Apr;38(2):483-499. doi: 10.1148/rg.2018170075.
5
A case report of Muir-Torre syndrome in a woman with breast cancer and MSI-Low skin squamous cell carcinoma.一名患有乳腺癌和微卫星低度不稳定皮肤鳞状细胞癌的女性的穆尔-托雷综合征病例报告。
Hered Cancer Clin Pract. 2017 May 12;15:6. doi: 10.1186/s13053-017-0066-9. eCollection 2017.
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What does PD-L1 positive or negative mean?PD-L1呈阳性或阴性是什么意思?
J Exp Med. 2016 Dec 12;213(13):2835-2840. doi: 10.1084/jem.20161462. Epub 2016 Nov 30.
7
Microsatellite Instability as a Biomarker for PD-1 Blockade.微卫星不稳定性作为 PD-1 阻断的生物标志物。
Clin Cancer Res. 2016 Feb 15;22(4):813-20. doi: 10.1158/1078-0432.CCR-15-1678.
8
Keratoacanthoma: a distinct entity?角化棘皮瘤:一种独特的疾病?
Exp Dermatol. 2016 Feb;25(2):85-91. doi: 10.1111/exd.12880. Epub 2015 Dec 4.
9
Family with MSH2 mutation presenting with keratoacanthoma and precancerous skin lesions.携带MSH2突变的家族出现角化棘皮瘤和癌前皮肤病变。
J Dermatol. 2015 Nov;42(11):1087-90. doi: 10.1111/1346-8138.12949. Epub 2015 Jun 16.
10
Guidelines on genetic evaluation and management of Lynch syndrome: a consensus statement by the US Multi-Society Task Force on colorectal cancer.林奇综合征遗传评估与管理指南:美国结直肠多学会工作组共识声明。
Gastroenterology. 2014 Aug;147(2):502-26. doi: 10.1053/j.gastro.2014.04.001.