Carney complex is a rare multiple neoplasia syndrome characterized by spotty pigmented lesions of the skin, cardiac and non-cardiac myxomas, as well as multiple endocrine tumors. The disease is typically associated with inactivating mutations or deletions of the PRKAR1A gene on chromosome. We report the case of a 15-year-old male who presented with a right sided thigh mass found to be myxomatous in origin. Whole genome chromosome SNP microarray analysis of this mass revealed a deletion of the PRKAR1A gene characteristic of the Carney complex. However, a microarray analysis of the patient's blood did not demonstrate any deletion of the PRKAR1A gene. Furthermore, physical examination and echocardiogram did not locate any other myxomatous lesions. Patients with unusual presentations of Carney complex should undergo close monitoring to identify the development of other lesions characteristic of this syndrome, despite the lack of any gene mutation in the somatic cells.
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Details
Title
PRKAR positive angiomyxoma
Creators
Giscard Adeclat - Drexel University
Teerin T. Meckmongkol - St. Christopher's Hospital for Children
Rajeev Prasad - St. Christopher's Hospital for Children
Publication Details
Journal of pediatric surgery case reports, v 40, pp 10-12
Publisher
Elsevier
Resource Type
Journal article
Language
English
Academic Unit
Pediatrics
Web of Science ID
WOS:000451132500003
Scopus ID
2-s2.0-85054609804
Other Identifier
991019167996604721
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