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First published on November 21, 2008
A more recent version of this article appeared on January 1, 2009
Neuro Oncol 2008, DOI:10.1215/15228517-2008-101
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© Copyright 2008 by the Society for Neuro-Oncology

Received April 9, 2008
Accepted June 30, 2008

Case Studies

Identifying Muir-Torre syndrome in a patient with glioblastoma multiforme

Deric M. Park 1*, Gabrielle A. Yeaney 2, Ronald L. Hamilton 2, Jennifer Mabold 1, Nikki Urban 1, Leonard Appleman 1, John Flickinger 1, Frank Lieberman 1, Arlan Mintz 1

1 University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA
2 Department of Pathology, University of Pittsburgh, Pittsburgh, PA, USA

* To whom correspondence should be addressed. E-mail: parkdm{at}upmc.edu.


   Abstract

Patients with Muir-Torre syndrome, an autosomal-dominant familial tumor condition caused by germline mutation of the DNA mismatch repair genes, MSH2 or MLH1, present with tumors of the sebaceous gland and visceral malignancies characterized by microsatellite instability. Here we show development of glioblastoma multiforme in a patient with Muir-Torre syndrome. Immunohistochemical analysis of the brain tumor and colon cancer revealed loss of the DNA mismatch repair gene detected by the genetic test, suggesting a pathogenic link.

Key Words: Glioma, GBM, Muir-Torre Syndrome, DNA mismatch repair, Microsatellite instability


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Copyright 2008 by Society for Neuro-Oncology