Microsatellite instability in keratoacanthoma, a benign skin tumor
- Mayo Clinic and Foundation, Rochester, MN (United States); and others
Keratocanthoma (KA) is a benign, spontaneously regressing epithelial tumor of the skin. KA is generally sporadic but also occurs in patients with the Muir-Torre syndrome (MTS), an inherited disorder characterized by the development in an individual of at least one sebaceous tumor and one visceral malignancy (usually colorectal cancer). As a result of the recent identification of microsatellite instability (MIN) in a KA from a patient with MTS and because of the benign nature of these tumors, we surveyed a group of randomly selected KA for MN. Paraffin-embedded tissue from 53 patients were analyzed for MIN. Of the 53 KA`s examined, 6 demonstrated MIN at two or more loci. Two of the patients with MIN+ KA also had colonic adenocarcinomas, and paraffin-embedded tissue obtained from one of these patients also demonstrated MIN at multiple loci. Interestingly, two patients with KA that did not demonstrate MIN had colon tumors that did exhibit MIN. Of the 8 patients demonstrating MIN in at least one tumor, one has a history consistent with hereditary nonpolyposis colorectal cancer (HNPCC), two have MTS, and three additional patients have features suggestive, but not diagnostic, of HNPCC. Two KA that were MIN+ appear to be sporadic since the patients had no associated visceral or sebaceous tumors, and no apparent family history of colon cancer. A 2 bp somatic deletion in exon 3 of the hMSH2 gene was identified in one of the sporadic MIN+ KA, suggesting that the genes responsible for HNPCC are also responsible for MIN in KA.
- OSTI ID:
- 133519
- Report Number(s):
- CONF-941009--
- Journal Information:
- American Journal of Human Genetics, Journal Name: American Journal of Human Genetics Journal Issue: Suppl.3 Vol. 55; ISSN AJHGAG; ISSN 0002-9297
- Country of Publication:
- United States
- Language:
- English
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