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Ul Haq I, Ali Hameed M, Ahmed S, Ahmad M, Rasheed I. Unexpected origins: Bronchopulmonary dysplasia and the unusual spectrum of cystic lung disease. Qatar Med J 2024; 2024:27. [PMID: 38680405 PMCID: PMC11046138 DOI: 10.5339/qmj.2024.qitc.27] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Accepted: 02/05/2024] [Indexed: 05/01/2024] Open
Affiliation(s)
- Irfan Ul Haq
- Pulmonary Medicine Department, Hamad General Hospital, Doha, Qatar
| | | | - Shakeel Ahmed
- Pulmonary Medicine Department, Al Wakra Hospital, Al Wakra, Qatar
| | - Mushtaq Ahmad
- Pulmonary Medicine Department, Hamad General Hospital, Doha, Qatar
| | - Ibrahim Rasheed
- Pulmonary Medicine Department, Hamad General Hospital, Doha, Qatar
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Mikhaylenko DS, Matveev VB, Filippova MG, Anoshkin KI, Kozlov NA, Khachaturyan AV, Semyanikhina AV, Nifatov SD, Tanas AS, Nemtsova MV, Zaletayev DV. Comprehensive Molecular Genetic Diagnostics of Birt-Hogg-Dube Syndrome in a Russian Patient with Renal Cancer and Lung Cysts: A Case Report. Case Rep Oncol 2021; 14:963-971. [PMID: 34703430 PMCID: PMC8490858 DOI: 10.1159/000516763] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 04/14/2021] [Indexed: 12/17/2022] Open
Abstract
We report a case of Birt-Hogg-Dube syndrome (BHDS), a rare hereditary syndrome, the main visible sign of which is the development of multiple skin fibrofolliculomas. In our case, there was a manifestation of BHDS consisting in the absence of fibrofolliculomas and presence of other characteristic features of this syndrome: lung cysts and renal cancer. The 26-year-old woman was admitted to a clinic for diagnosis and treatment of a neoplasm of the left kidney and had a history of renal cell cancer (RCC) of the right kidney and spontaneous pneumothorax. Multiple tumors of the left kidney and lung cysts were observed upon clinical and laboratory testing. Tumors of the left kidney were resected and diagnosed by a pathologist as chromophobe RCC. Sequencing of FLCN exons 4–14 from blood DNA revealed the heterozygous germline nonsense mutation c.1429C>T (p.R477*), confirming the diagnosis of BHDS. Several somatic variants were detected by tumor DNA sequencing using the Comprehensive Cancer Panel and Ion S5 platform. Medical-genetic counseling was conducted, and follow-up management was outlined. To our knowledge, this case report is the first comprehensive clinical and genetic examination of a patient with BHDS in Russia. The p.R477* mutation has been described by other authors in patients with fibrofolliculomas and lung cysts, but not in those with RCC, while RCC was the first manifestation of BHDS in our case. The case report may help geneticists, oncologists, and other specialists to better understand the clinical and genetic heterogeneity of BHDS in various populations.
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Affiliation(s)
- Dmitry S Mikhaylenko
- Department of Oncogenetics, Research Centre for Medical Genetics, Moscow, Russian Federation.,Laboratory of Medical Genetics, Institute of Molecular Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Vsevolod B Matveev
- Department of Oncological Urology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
| | - Margarita G Filippova
- Department of Oncological Urology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
| | - Kirill I Anoshkin
- Department of Oncogenetics, Research Centre for Medical Genetics, Moscow, Russian Federation
| | - Nikolay A Kozlov
- Department of Oncological Urology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
| | - Alexander V Khachaturyan
- Department of Oncological Urology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
| | - Alexandra V Semyanikhina
- Department of Oncological Urology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
| | - Sergey D Nifatov
- Department of Oncological Urology, N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
| | - Alexander S Tanas
- Department of Oncogenetics, Research Centre for Medical Genetics, Moscow, Russian Federation
| | - Marina V Nemtsova
- Laboratory of Medical Genetics, Institute of Molecular Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
| | - Dmitry V Zaletayev
- Department of Oncogenetics, Research Centre for Medical Genetics, Moscow, Russian Federation.,Laboratory of Medical Genetics, Institute of Molecular Medicine, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation
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Phillips B, Shaw J, Turco L, McDonald D, Carey J, Balters M, Wagner M, Bertellotti R, Cornell DL, Agrawal DK, Asensio JA. Traumatic pulmonary pseudocyst: An underreported entity. Injury 2017; 48:214-220. [PMID: 27986273 DOI: 10.1016/j.injury.2016.12.006] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Accepted: 12/11/2016] [Indexed: 02/02/2023]
Abstract
BACKGROUND Traumatic pulmonary pseudocysts (TPP) are underreported cavitary lesions of the pulmonary parenchyma that can develop following blunt chest trauma. Although the occurrence of traumatic pulmonary pseudocyst is rare, this condition should be considered in the differential diagnosis of any cavitary lesion. Awareness of this injury and its clinical significance is important for successful management in order to avoid medical errors in the course of treatment. METHODS A literature search was conducted through Medline using the key phrases "traumatic pulmonary pseudocyst" and "traumatic pneumatocele." Relevant articles, especially those with focus on diagnosis and management of traumatic pneumatocele in adults, were selected. Due to the scarcity of literature and lack of Level I evidence on this subject, studies published in any year were considered. RESULTS A search of "traumatic pulmonary pseudocyst" and "traumatic pneumatocele" yielded 114 studies. Most of these were excluded based on inclusion and exclusion criteria. Thirty-five articles were reviewed. The majority of these were individual case studies; only eight articles were considered large case studies (greater than eight patients). CONCLUSION Traumatic pulmonary pseudocysts are lesions that occur secondary to blunt chest trauma. Diagnosis is based on a history of trauma and appearance of a cystic lesion on CT. Accurate diagnosis of traumatic pulmonary pseudocyst is imperative to achieve successful outcomes. Failure to do so may lead to unnecessary procedures and complications.
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Affiliation(s)
- B Phillips
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - J Shaw
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - L Turco
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - D McDonald
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - J Carey
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - M Balters
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - M Wagner
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - R Bertellotti
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - D L Cornell
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - D K Agrawal
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
| | - J A Asensio
- Creighton University School of Medicine, Department of Surgery, Department of Clinical & Translational Science, Omaha, NE, United States.
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Bakan S, Kandemirli SG, Kilic F, Tutar O, Demirdag C, Akman C. Birt-Hogg-Dubé syndrome: A diagnosis to consider in patients with renal cancer and pulmonary cysts. Diagn Interv Imaging 2015; 97:117-8. [PMID: 26297507 DOI: 10.1016/j.diii.2015.06.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2015] [Revised: 06/22/2015] [Accepted: 06/23/2015] [Indexed: 11/30/2022]
Affiliation(s)
- S Bakan
- Istanbul University Cerrahpasa Medical Faculty, Department of Radiology, Istanbul, Turkey
| | - S G Kandemirli
- Istanbul University Cerrahpasa Medical Faculty, Department of Radiology, Istanbul, Turkey.
| | - F Kilic
- Istanbul University Cerrahpasa Medical Faculty, Department of Radiology, Istanbul, Turkey
| | - O Tutar
- Istanbul University Cerrahpasa Medical Faculty, Department of Radiology, Istanbul, Turkey
| | - C Demirdag
- Istanbul University Cerrahpasa Medical Faculty, Department of Urology, Istanbul, Turkey
| | - C Akman
- Istanbul University Cerrahpasa Medical Faculty, Department of Radiology, Istanbul, Turkey
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