Autopsy case of right ventricular rhabdomyoma in tuberous sclerosis complex

作者: Takeshi Kondo , Yo Niida , Masashi Mizuguchi , Yasushi Nagasaki , Yasuhiro Ueno

DOI: 10.1016/J.LEGALMED.2018.10.001

关键词:

摘要: Abstract Tuberous sclerosis complex (TSC) is a genetic multisystem disorder characterized by widespread hamartomas in several organs, including the brain, heart, skin, eyes, kidney, lung, and liver. Rhabdomyoma most common cardiac tumor diagnosed fetuses, neonates infants, closely linked to TSC. Here we describe an autopsy case of right ventricular rhabdomyoma The deceased was 3-month-old male infant, TSC with had been before his death. Since not physically blocking blood flow, he undergone surgical intervention. At autopsy, patient’s height 62 cm body weight 6 kg. heart weighed 37.3 g ventricle filled tumor. measured 2.1 cm × 1.6 cm, being fusion multiple tumors attachment sites myocardium. Histologically, as rhabdomyoma, positive for mammalian target rapamycin (mTOR). brain 795.0 g, without hydrocephalus. cut surface revealed cortical tubers subependymal nodules. Through screening TSC1 (hamartin) TSC2 (tuberin) genes, nonsense mutation, c.1108C>T:p.Gln370∗, detected gene. Immediate cause death determined be obstruction insidious growth. This highlights need forensic pathologists perform complete determine sudden tumor, examination.

参考文章(30)
Elena G. Milano, Maria A. Prioli, Corrado Vassanelli, Spontaneous regression of a large rhabdomyoma of the interventricular septum. Cardiology in The Young. ,vol. 24, pp. 379- 381 ,(2014) , 10.1017/S1047951113000449
D. P. Winstanley, Sudden death from multiple rhabdomyomata of the heart The Journal of Pathology and Bacteriology. ,vol. 81, pp. 249- 251 ,(1961) , 10.1002/PATH.1700810129
CHARLES W. SHEPHERD, MANUEL R. GOMEZ, J.T. LIE, CYNTHIA S. CROWSON, Causes of death in patients with tuberous sclerosis. Mayo Clinic proceedings. ,vol. 66, pp. 792- 796 ,(1991) , 10.1016/S0025-6196(12)61196-3
Margherita Neri, Sabina Di Donato, Rocco Maglietta, Cristoforo Pomara, Irene Riezzo, Emanuela Turillazzi, Vittorio Fineschi, Sudden death as presenting symptom caused by cardiac primary multicentric left ventricle rhabdomyoma, in an 11-month-old baby. An immunohistochemical study Diagnostic Pathology. ,vol. 7, pp. 169- 169 ,(2012) , 10.1186/1746-1596-7-169
Yo Niida, Mondo Kuroda, Yusuke Mitani, Akiko Okumura, Ayano Yokoi, Applying and testing the conveniently optimized enzyme mismatch cleavage method to clinical DNA diagnosis Molecular Genetics and Metabolism. ,vol. 107, pp. 580- 585 ,(2012) , 10.1016/J.YMGME.2012.09.008
R.M. Freedom, K.-J. Lee, C. MacDonald, G. Taylor, Selected Aspects of Cardiac Tumors in Infancy and Childhood Pediatric Cardiology. ,vol. 21, pp. 299- 316 ,(2000) , 10.1007/S002460010070
John F. Smythe, John D. Dyck, Jeffrey F. Smallhorn, Robert M. Freedom, Natural history of cardiac rhabdomyoma in infancy and childhood. American Journal of Cardiology. ,vol. 66, pp. 1247- 1249 ,(1990) , 10.1016/0002-9149(90)91109-J
Maren Y. Fuller, Dwayne A. Wolf, L. Maximilian Buja, Sudden death in a 15-year-old with diffuse cardiac rhabdomyomatosis: an autopsy case report. Cardiovascular Pathology. ,vol. 23, pp. 351- 353 ,(2014) , 10.1016/J.CARPATH.2014.07.004
Iyare Izevbaye, Jianlan Sun, Loghmanee Fazlollah, Numerous cortical tubers and rhabdomyomas in a case of sudden unexpected infant death. American Journal of Forensic Medicine and Pathology. ,vol. 32, pp. 331- 335 ,(2011) , 10.1097/PAF.0B013E3181D3DC53
Stephen J. Cina, John E. Smialek, Allen P. Burke, Renu Virmani, Grover M. Hutchins, Primary cardiac tumors causing sudden death: a review of the literature. American Journal of Forensic Medicine and Pathology. ,vol. 17, pp. 271- 281 ,(1996) , 10.1097/00000433-199612000-00001