TY - CHAP M1 - Book, Section TI - Hereditary Leiomyomatosis and Renal Cell Cancer (HLRCC) A1 - Launonen, Virpi A1 - Kiuru, Maija A1 - Herva, Riitta A1 - Aaltonen, Lauri A. A2 - Valle, David L. A2 - Antonarakis, Stylianos A2 - Ballabio, Andrea A2 - Beaudet, Arthur L. A2 - Mitchell, Grant A. PY - 2019 T2 - The Online Metabolic and Molecular Bases of Inherited Disease AB - The typical features of hereditary leiomyomatosis and renal cell cancer (HLRCC) (MIM 605839) [http://www.ncbi.nlm.nih.gov/htbin-post/Omim/dispmim?605839] are benign leiomyomas of the skin and the uterus (fibroids, myomas). The condition is also referred to as multiple cutaneous and uterine leiomyomatosis (MCUL) (MIM 150800). [http://www.ncbi.nlm.nih.gov/htbin-post/Omim/dispmim?150800]Predisposition to early-onset renal cell carcinoma and uterine leiomyosarcoma is present in a subset of families. Renal cancer is typically of papillary type 2 histology, although collecting duct carcinomas have also been detected.The predisposing gene is FH (MIM 136850). [http://www.ncbi.nlm.nih.gov/htbin-post/Omim/dispmim?136850] Germline mutations in FH have been found in 85% of the HLRCC families.Homozygous or compound heterozygous mutations of FH cause a recessive disorder, FH deficiency (MIM 606812). [http://www.ncbi.nlm.nih.gov/htbin-post/Omim/dispmim?606812] The syndrome is characterized by neurologic impairment, growth and developmental delay, fumaric aciduria, and absent or reduced enzyme activity in all tissues.There seem not to be clear-cut genotype-phenotype correlations between the detected mutations and their clinical outcomes. Therefore, predisposition to malignancy may be due to currently unknown modifying factors, as some families appear to have high risk of cancer at early age, and others little or no risk. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - ommbid.mhmedical.com/content.aspx?aid=1181415500 ER -