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De Barry L, Bahall V. Atypical manifestations of uterine leiomyomas - expecting the unexpected. Case Rep Womens Health 2023; 40:e00571. [PMID: 38162380 PMCID: PMC10757161 DOI: 10.1016/j.crwh.2023.e00571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Accepted: 11/27/2023] [Indexed: 01/03/2024] Open
Affiliation(s)
- Lance De Barry
- Department of Obstetrics and Gynecology, San Fernando General Hospital, South-West Regional Health Authority, Trinidad and Tobago
| | - Vishal Bahall
- Department of Obstetrics and Gynecology, San Fernando General Hospital, South-West Regional Health Authority, Trinidad and Tobago
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González-Guerra E, Conde Taboada A, Cortés Toro JA, López Bran E, Pérez Segura P. Dermatologists might be the first to suspect hereditary leiomyomatosis and renal cell carcinoma syndrome. An Bras Dermatol 2023; 98:696-698. [PMID: 37230921 PMCID: PMC10404549 DOI: 10.1016/j.abd.2021.09.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 09/29/2021] [Accepted: 09/30/2021] [Indexed: 05/27/2023] Open
Affiliation(s)
- Elena González-Guerra
- Department of Dermatology, Hospital Clinico Universitario San Carlos, Madrid, Spain.
| | | | | | - Eduardo López Bran
- Department of Dermatology, Hospital Clinico Universitario San Carlos, Madrid, Spain
| | - Pedro Pérez Segura
- Department of Genetics, Hospital Clinico Universitario San Carlos, Madrid, Spain
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3
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Alamon-Reig F, Morgado-Carrasco D, Iranzo-Fernández P. Solitary painful nodule on the scapular region. ACTAS DERMO-SIFILIOGRAFICAS 2022; 113:187-188. [DOI: 10.1016/j.ad.2022.02.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Alamon-Reig F, Morgado-Carrasco D, Fernández PI. [Artículo traducido] Nódulo doloroso solitario en la región escapular. ACTAS DERMO-SIFILIOGRAFICAS 2022; 113:T187-T188. [DOI: 10.1016/j.ad.2020.06.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2020] [Revised: 05/17/2020] [Accepted: 06/29/2020] [Indexed: 11/28/2022] Open
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Alamon-Reig F, Morgado-Carrasco D, Iranzo-Fernández P. Solitary painful nodule on the scapular region. ACTAS DERMO-SIFILIOGRAFICAS 2021. [DOI: 10.1016/j.adengl.2021.11.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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6
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Pérez-López I, Ródenas-Herranz T, Ruiz-Villaverde R. Hereditary leiomyomatosis associated with renal cell carcinoma. Med Clin (Barc) 2021; 157:307. [PMID: 32807509 DOI: 10.1016/j.medcli.2020.06.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 06/23/2020] [Accepted: 06/25/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Israel Pérez-López
- Unidad de Gestión Clínica de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario San Cecilio. Granada, España.
| | - Teresa Ródenas-Herranz
- Unidad de Gestión Clínica de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario San Cecilio. Granada, España
| | - Ricardo Ruiz-Villaverde
- Unidad de Gestión Clínica de Dermatología Médico-Quirúrgica y Venereología, Hospital Universitario San Cecilio. Granada, España
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Marcoval J, Llobera-Ris C, Moreno-Vílchez C, Penín RM. Cutaneous Leiomyoma: A Clinical Study of 152 Patients. Dermatology 2021; 238:587-593. [PMID: 34569484 DOI: 10.1159/000518542] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Accepted: 07/18/2021] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Cutaneous leiomyoma (CL) is a benign smooth muscle tumour included in painful skin tumours. Multiple CLs are cutaneous markers of hereditary leiomyomatosis and renal cell cancer (HLRCC). OBJECTIVES To retrospectively review our series of patients with CLs to analyse their clinical features and the association with HLRCC. METHODS Cases coded as CL in the database of the pathology department between 2004 and 2019 were included in the study. Medical records were retrospectively reviewed to obtain the following data: age, sex, location, number of lesions, diameter, evolution time at diagnosis, suspected clinical diagnosis, tenderness, status of resection margins, development of recurrence, follow-up time, and association with HLRCC. RESULTS 152 patients had CLs, 89 women and 63 men, mean age 56.26, SD 16.030 years. Subtypes were piloleiomyoma in 62 patients, angioleiomyoma in 80, and genital leiomyoma in 10. All of our 11 patients with multiple lesions corresponded to piloleiomyomas, and HLRCC was confirmed in 8 of them (73%). Patients with HLRCC were younger than patients with piloleiomyomas without HLRCC (34.88 vs. 56.17 years, p = 0.009). Vascular and genital leiomyomyomas were solitary and were not associated with HLRCC. CONCLUSION In patients with multiple piloleiomyomas HLRCC must be ruled out as it is confirmed in a high proportion of cases. The probability of fumarate hydratase mutation is greater in multiple piloleiomyomas involving both the trunk and upper extremities in the same patient.
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Affiliation(s)
- Joaquim Marcoval
- Department of Dermatology, Hospital Universitari de Bellvitge, IDIBELL, University of Barcelona, Barcelona, Spain
| | - Clàudia Llobera-Ris
- Department of Dermatology, Hospital Universitari de Bellvitge, IDIBELL, University of Barcelona, Barcelona, Spain
| | - Carlos Moreno-Vílchez
- Department of Dermatology, Hospital Universitari de Bellvitge, IDIBELL, University of Barcelona, Barcelona, Spain
| | - Rosa María Penín
- Department of Pathology, Hospital Universitari de Bellvitge, IDIBELL, University of Barcelona, Barcelona, Spain
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Puerta-Peña M, Calleja-Algarra A, Llamas-Martín R, Postigo-Llorente C. Pápulas dolorosas agrupadas en la espalda: más allá de la piel. Aten Primaria 2020; 52:501-502. [PMID: 31889557 PMCID: PMC7393554 DOI: 10.1016/j.aprim.2019.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 08/23/2019] [Indexed: 11/28/2022] Open
Affiliation(s)
- Mario Puerta-Peña
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
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Fernández Canga P, Castiñeiras González J, Sánchez Sambucety P. Atypical presentation of Reed syndrome. Med Clin (Barc) 2019; 152:468-469. [PMID: 30470440 DOI: 10.1016/j.medcli.2018.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 09/25/2018] [Accepted: 09/27/2018] [Indexed: 11/28/2022]
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10
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Ajalla Aleixo MA, Rangel VL, Rustiguel JK, de Pádua RAP, Nonato MC. Structural, biochemical and biophysical characterization of recombinant human fumarate hydratase. FEBS J 2019; 286:1925-1940. [DOI: 10.1111/febs.14782] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/04/2018] [Revised: 01/09/2019] [Accepted: 02/12/2019] [Indexed: 12/31/2022]
Affiliation(s)
- Mariana A. Ajalla Aleixo
- Laboratório de Cristalografia de Proteínas Faculdade de Ciências Farmacêuticas de Ribeirão Preto Universidade de São Paulo Ribeirão Preto Brazil
| | - Victor L. Rangel
- Laboratório de Cristalografia de Proteínas Faculdade de Ciências Farmacêuticas de Ribeirão Preto Universidade de São Paulo Ribeirão Preto Brazil
| | - Joane K. Rustiguel
- Laboratório de Cristalografia de Proteínas Faculdade de Ciências Farmacêuticas de Ribeirão Preto Universidade de São Paulo Ribeirão Preto Brazil
| | - Ricardo A. P. de Pádua
- Laboratório de Cristalografia de Proteínas Faculdade de Ciências Farmacêuticas de Ribeirão Preto Universidade de São Paulo Ribeirão Preto Brazil
| | - Maria Cristina Nonato
- Laboratório de Cristalografia de Proteínas Faculdade de Ciências Farmacêuticas de Ribeirão Preto Universidade de São Paulo Ribeirão Preto Brazil
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Dash S, Mohapatra L, Samal K, Mohanty P. Reed's syndrome - A rare case of multiple cutaneous and uterine leiomyomatosis with renal cyst. Indian Dermatol Online J 2019; 10:724-726. [PMID: 31807460 PMCID: PMC6859779 DOI: 10.4103/idoj.idoj_511_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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12
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Gupta G, Sudan R, Mushtaq S. Multiple Cutaneous and Uterine Leiomyomatosis with Renal Involvement: Report of a Rare Association. Indian J Dermatol 2018. [PMID: 29527031 PMCID: PMC5838760 DOI: 10.4103/ijd.ijd_355_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Cutaneous leiomyomas (CLs) are uncommon benign smooth muscle tumours characterised by solitary or multiple painful nodules. Based on origin, three types are recognised, namely piloleiomyoma, dartoic leiomyoma, and angioleiomyoma, with piloleiomyomas being the commonest one. Reed's syndrome also known as multiple cutaneous and uterine leiomyomatosis (MCULs) is characterised by CLs in men and CLs and uterine fibroids in women. Association of Reed's syndrome with renal cell carcinoma is labelled as hereditary leiomyomatosis and renal cell carcinoma (HLRCC). Both MCUL and HLRCC are caused by a heterozygous mutation in the fumarate hydratase gene. Besides renal cell carcinoma, there were extremely rare reports of association of MCUL with benign renal lesions. We report a case of a 55-year-old female with segmental tender papulonodular lesions suggestive of leiomyoma associated with uterine leiomyomas and unilateral renal cyst. The case is reported here for its rarity and uncommon association with asymptomatic benign renal cyst.
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Affiliation(s)
- Gunjan Gupta
- Department of Dermatology, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
| | - Rahul Sudan
- Department of Medicine, Shri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun, Uttarakhand, India
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Romero-Pérez D, Encabo-Durán B, Blanes-Martínez M, Niverio-de Jaime M. Papules on the arms and renal cell carcinoma. Clin Exp Dermatol 2017; 42:806-808. [PMID: 28737001 DOI: 10.1111/ced.13194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/29/2016] [Indexed: 11/27/2022]
Affiliation(s)
- D Romero-Pérez
- Department of Dermatology, University General Hospital of Alicante, Pintor Baeza 12, 03010, Alicante, Spain
| | - B Encabo-Durán
- Department of Dermatology, University General Hospital of Alicante, Pintor Baeza 12, 03010, Alicante, Spain
| | - M Blanes-Martínez
- Department of Dermatology, University General Hospital of Alicante, Pintor Baeza 12, 03010, Alicante, Spain
| | - M Niverio-de Jaime
- Department of Pathology, University General Hospital of Alicante, Pintor Baeza 12, 03010, Alicante, Spain
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14
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Hereditary leiomyomatosis and renal cell cancer syndrome: An update and review. J Am Acad Dermatol 2017; 77:149-158. [PMID: 28314682 DOI: 10.1016/j.jaad.2017.01.023] [Citation(s) in RCA: 61] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2016] [Revised: 01/07/2017] [Accepted: 01/11/2017] [Indexed: 02/06/2023]
Abstract
Hereditary leiomyomatosis and renal cell cancer (HLRCC) syndrome is a rare genetic disorder that predisposes individuals to multiple cutaneous leiomyomas, renal cell carcinomas, and in women, uterine leiomyomas. Also known as Reed syndrome, it is caused by a germline heterozygous mutation of the fumarate hydratase tumor suppressor gene. HLRCC is associated with significant morbidity because of pain from cutaneous and uterine leiomyomas, the cutaneous pain often of unique character. Although genetic testing is currently considered the criterion standard to diagnose HLRCC, newer immunohistochemistry markers may provide rapid and cost effective alternatives to genetic testing. Because of the potentially aggressive nature of renal cell carcinomas that develop as early as in childhood, close annual cancer surveillance is desirable in individuals with HLRCC. In this review, we offer an update and an approach to the diagnosis, management, and renal cancer surveillance in HLRCC.
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Jones C, Shalin SC, Gardner JM. Incidence of mature adipocytic component within cutaneous smooth muscle neoplasms. J Cutan Pathol 2016; 43:866-71. [PMID: 27404774 DOI: 10.1111/cup.12764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2015] [Revised: 01/26/2016] [Accepted: 03/07/2016] [Indexed: 11/30/2022]
Abstract
Angioleiomyoma is a benign smooth muscle tumor of the subcutis. The presence of mature adipocytes has been described in this tumor under the rubric of 'angiolipoleiomyoma' or, erroneously, 'angiomyolipoma' (these are not PEComas). Previous studies have found adipocytes in only 2-3% of angioleiomyoma. Anecdotally, the incidence appeared to be greater than this in our practice. Moreover, the presence of adipocytes has not been evaluated in pilar leiomyoma or cutaneous leiomyosarcoma. We searched the pathology archives from 2007 to 2014 for all cutaneous and subcutaneous leiomyoma and leiomyosarcoma; cases were reviewed to confirm the diagnosis and evaluate for mature adipocytes. Seven of 73 total cases (10%) contained mature adipocytes: 1 of 33 pilar leiomyoma (3%), 4 of 22 angioleiomyoma (18%) and 2 of 18 leiomyosarcoma (11%). In our series, the 18% incidence of 'angioleiomyoma with fat' (our preferred terminology) is higher than the previously reported incidence of 2-3%. We also report the rare presence of mature adipocytes within pilar leiomyoma and cutaneous leiomyosarcoma, a finding not previously reported to our knowledge. Mature adipocytes may be present within cutaneous and subcutaneous leiomyomas and leiomyosarcomas and should not detract from the diagnosis or lead to concern for an adipocytic neoplasm or PEComa.
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Affiliation(s)
- Chelsea Jones
- College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Sara C Shalin
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.,Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Jerad M Gardner
- Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR, USA. .,Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
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