Verkouteren Babette Ja, Roemen Guido Mjm, Schuurs-Hoeijmakers Janneke Hm, Abdul Hamid Myrurgia, van Geel Michel, Speel Ernst-Jan M, Mosterd Klara
Department of Dermatology, Maastricht University Medical Center+, Maastricht, The Netherlands
GROW School for Oncology and Reproduction, Maastricht University, Maastricht, The Netherlands.
J Clin Pathol. 2023 May;76(5):345-348. doi: 10.1136/jcp-2022-208391. Epub 2022 Aug 24.
Basal cell nevus syndrome (BCNS) is a rare genetic disorder accompanied by a broad variety of tumours, of which basal cell carcinomas and odontogenic keratocysts are the most common. BCNS is caused by a germline or postzygotic mutation in either or As BCNS is a rare disease, it is difficult to establish whether less frequently occurring tumours are actually part of the syndrome. In this study, the molecular mechanism behind four extracutaneous tumours in patients with BCNS was elucidated. A leiomyoma of the testis and meningioma were confirmed to be associated with BCNS in two patients by presence of a second mutation or loss of heterozygosity in In a meningioma of a patient with a mosaic postzygotic mutation an association could not be conclusively confirmed. was probably not involved in the development of a thyroid carcinoma in a patient with a germline mutation. Hence, we have proven that meningioma and leiomyoma of the testis are rare extracutaneous tumours that are part of BCNS.
基底细胞痣综合征(BCNS)是一种罕见的遗传性疾病,伴有多种肿瘤,其中基底细胞癌和牙源性角化囊肿最为常见。BCNS由PTCH1或SMO的种系或合子后突变引起。由于BCNS是一种罕见疾病,很难确定较少发生的肿瘤是否实际上是该综合征的一部分。在本研究中,阐明了BCNS患者四种皮肤外肿瘤背后的分子机制。通过在PTCH1中存在第二次突变或杂合性缺失,证实两名患者的睾丸平滑肌瘤和脑膜瘤与BCNS相关。在一名具有镶嵌合子后PTCH1突变的患者的脑膜瘤中,无法最终确认其关联性。PTCH1可能不参与一名具有种系PTCH1突变的患者甲状腺癌的发生。因此,我们已经证明睾丸脑膜瘤和平滑肌瘤是BCNS罕见的皮肤外肿瘤。