Tumor Syndromes

 
 
  • Genetic syndromes associated with melanoma
    • Mutação CDKN2A
      • Localizado cromossoma 9p21
      • Codifica p16 e p14 (p16 também é um marcador do HPV)
      • Também predispõe para cancro pancreático
    • Mutação CDK4 (12q13)
      • Codes for a dependent protein kinase involved in cell cycle control
    • Mutação MC1R
      • Encodes de MSH receptor
      • Associated with red hair phenotype
    • Mutação MITF (Microphthalmia-associated transcription factor)
      • Regulates melanocyte differentiation
      • Also renal carcinoma
    • Mutação BAP1
      • BAP1 syndrome
      • Tumor supressor gene
      • Cutaneous or uveal melanoma, mesothelioma and renal cell carcinoma
 
 
Outros
Hereditary leiomyomatosis and renal cell carcinoma (HLRCC)
Multiple Endocrine Neoplasia | MEN
  • BAP1: multiple MBAITS (appear at first decades of life)
    • Uveal melanoma: aggressive with high metastatic potential
  • TERT: multiple atypical nevi (possible)
    • Nodular or superficial spreading types
  • POT1: early age of onset
    • Chronic lymphocytic leukemia, angiosarcomas, gliomas
  • MITF: fair skin type (debated) multiple atypical nevi
    • Amelanotic melanoma may be more common in this population
  • Hereditary retinoblastoma: dysplastic nevi, melanoma, sarcoma, intracranial embryonic tumors
  • PTEN: risk and age of onset unknown
 
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