Novel Fumarate Hydratase Mutation in a Family with Atypical Uterine Leiomyomas and Hereditary Leiomyomatosis and Renal Cell Cancer  

Oleh:

Wheeler, Karen C. ; Warr, Dillon J. ; Warsetsky, Sarah I. ; Barmat, Larry I.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 105 no. 01 (Jan. 2016), page 144-148.
Topik: Hereditary Leiomyomatosis and Renal Cell Cancer; Fumarate Hydratase; Atypical Leiomyoma; Myomectomy
Fulltext: F02 v105 n1 p144 kelik2016.pdf (890.73KB)

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective: To describe a novel mutation in the fumarate hydratase (FH) gene in a family with atypical uterine leiomyomas. Design: Case report and review of the literature. Setting: Academic community hospital. Patient(s): Three sisters who presented as nulligravidas aged 27–30 years with large atypical uterine leiomyomas. Intervention(s): Abdominal myomectomy, robotic myomectomy, hysterectomy, gene sequencing. Main Outcome Measure(s): Identification of a family with hereditary leiomyomatosis and renal cell cancer (HLRCC) syndrome and a novel mutation in the FH gene. Result(s): Two of the three sisters tested positive for a novel FH mutation p.Leu99Glufsx6. The eldest sister was clinically diagnosed with HLRCC. The patients' father also carries the same mutation in the FH gene. The patients and their father are now undergoing yearly screening for renal cancer. Conclusion(s): Patients with HLRCC are at risk for developing renal cancer as well as losing their fertility via early hysterectomy. Physicians must be aware of this condition and refer at-risk individuals for genetic testing.

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