Etiology
- Germline mutation in BAP1 (BRCA1-associated protein 1) gene, a tumor suppressor gene located on chromosome 3p21
Associations
- Melanomas: uveal/choroidal and cutenous
- Uveal melanoma: aggressive with high metastatic potential
- Mesothelioma
- Cholangiocarcinoma
- Renal cell carcinoma
- Basal cell carcinoma
Multiple pink to brown papules or nodules measuring 0,2-1cm, known as “BAP1-mutated atypical intradermal melanocytic tumors MBAIT or BAPomas (appear at first decades of life)
Diagnosis
- Exicion of lesion and histologic analysis with anti-BAP1 antibody
- Genetic testing
Follow-up
- Dermatologic appointments every 6 months
- Ophtalmological monitoring annual
- Renal monitoring: MRI or renal U/S from age 40