Title |
Hereditary leiomyomatosis and renal cell carcinoma: very early diagnosis of renal cancer in a paediatric patient
|
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Published in |
Familial Cancer, December 2009
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DOI | 10.1007/s10689-009-9306-0 |
Pubmed ID | |
Authors |
Ismail Alrashdi, Samantha Levine, Joan Paterson, Rohit Saxena, Soonie R. Patel, Sarita Depani, Darren R. Hargrave, Kathy Pritchard-Jones, Shirley V. Hodgson |
Abstract |
Hereditary leiomyomatosis and renal cell cancer is a hereditary cancer syndrome in which affected individuals are at risk for cutaneous and uterine leiomyomas, and renal cancer. Previous reports have stressed the aggressiveness of the renal tumours, often with early metastasis, despite small primary tumour size. Almost all the previously reported patients were adults, and different studies showed variability in penetrance for the renal tumours. We report a patient in whom renal cancer was detected at the age of 11 years at his first routine screening imaging after he was found to carry a fumarate hydratase gene mutation (c.1189G > A) transmitted from his mother. This report serves to emphasize the need to improve guidelines for screening of at risk individuals, including the necessity for predictive genetic testing and early institution of tumour surveillance in childhood. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Czechia | 1 | 3% |
Unknown | 38 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 8 | 21% |
Student > Postgraduate | 7 | 18% |
Researcher | 4 | 10% |
Professor | 2 | 5% |
Student > Doctoral Student | 2 | 5% |
Other | 10 | 26% |
Unknown | 6 | 15% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 51% |
Biochemistry, Genetics and Molecular Biology | 3 | 8% |
Unspecified | 2 | 5% |
Agricultural and Biological Sciences | 2 | 5% |
Psychology | 2 | 5% |
Other | 3 | 8% |
Unknown | 7 | 18% |