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familial cylindromatosis; Ancell-Spiegler cylindromas; dermal eccrine cylindromatosis; turban tumor syndrome
Pathology:
- highly tumor type-specific disorder
- cylindromas are believed to arise from eccrine glands or apocrine cells
- skin tumors may show differentiation in the direction of hair structures, thus trichoepitheliomas
Genetics:
- autosomal dominant
- caused by mutations in the CYLD1 gene
Clinical manifestations:
1) cylindromas arise predominantly in hairy parts of the body with ~90% on the head & neck
2) trichoepitheliomas
3) spiradenomas
4) development of a confluent mass which may ulcerate or become infected has led to the designation turban tumor syndrome
Laboratory: skin biopsy
Differential diagnosis:
- neurofibromatosis
Management:
- surgery
- if lesions result in function impairment or compromise
- cosmetic
Notes:
- Spiegler-Brooke syndrome, Brooke-Fordyce trichoepitheliomas & familial cylindromatosis represent autosomal dominant disorders associated with the same gene, CYLD1
Related
cylindroma
multiple familial trichoepithelioma type 1; epithelioma adenoides cysticum of Brooke; hereditary multiple benign cystic epithelioma; Brooke-Fordyce trichoepitheliomas
Spiegler-Brooke syndrome
ubiquitin carboxyl-terminal hydrolase CYLD; deubiquitinating enzyme CYLD; ubiquitin thiolesterase CYLD; ubiquitin-specific-processing protease CYLD (CYLD, CYLD1, KIAA0849, HSPC057)
General
hereditary neoplastic syndrome; cancer susceptibility syndrome
Properties
ASSOCIATED-NEOPLASM[S]: cylindroma
epithelioma
Database Correlations
OMIM correlations
MORBIDMAP 605018
References
OMIM :accession 132700