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Müllerian papilloma in a patient with Proteus syndrome: case report and review of the literature

  • Š. Smrkolj1,*,
  • L. Sorcˇ1
  • J. Šinkovec2
  • S. Rakar1

1Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia

2Department of Pathology, University Medical Centre Ljubljana, Ljubljana, Slovenia

DOI: 10.12892/ejgo201204428 Vol.33,Issue 4,July 2012 pp.428-432

Published: 10 July 2012

*Corresponding Author(s): Š. Smrkolj E-mail: spela.smrkolj@mf.uni-lj.si

Abstract

Background: Mullerian papilloma is a rare benign tumor of the female genital tract. It mostly affects girls less than five years old. After the treatment long-term follow-up is needed as there is a chance of recurrence, but even then the prognosis is excellent. Case: A 19-year-old girl with Proteus syndrome presented with vaginal bleeding. The histological examination revealed Mullerian papilloma of the uterine cervix and large bilateral ovarian cystadenomas. The patient was treated with a radical operation, because there were signs of more aggressive behavior in the tumor. The patient is alive and free of disease five years after the operation. Conclusion: The medical care of patients affected by rare disorders depends heavily on experiences gained from cases published in the medical literature. Since there is not much experience with tumors in Proteus syndrome we believe that this case can aid in shedding light on this subject.

Keywords

Müllerian papilloma; Proteus syndrome

Cite and Share

Š. Smrkolj,L. Sorcˇ,J. Šinkovec,S. Rakar. Müllerian papilloma in a patient with Proteus syndrome: case report and review of the literature. European Journal of Gynaecological Oncology. 2012. 33(4);428-432.

References

[1] Schmedding A., Zense M., Fuchs J., Glüer S.: “Benign papilloma of the cervix in childhood: immunochistochemical findings and review of the literature”. Eur. J. Pediatr., 1997, 156, 320.

[2] Mierau G.W., Lovell M.A., Wyatt-Ashmead J., Goin L.: “Benign Müllerian papilloma of childhood”. Ultrastruct. Pathol., 2005, 29, 209.

[3] Reck-Burneo C.A., Villanueva J., Velcek F.T.: “Vaginal Müllerian papilloma: an unusual cause of vaginal bleeding in a toddler”. J. Pediatr. Adolesc. Gynecol., 2009, 22, 124.

[4] Lüttges J.E., Lübke M.: “Recurrent benign Müllerian papilloma of the vagina. Immunohistological findings and histogenesis”. Arch. Gynecol. Obstet., 1994, 225, 157.

[5] Lane B.R., Ross J.H., Hart W.R., Kay R.: “Müllerian papilloma of the cervix in a child with multiple renal cyst”. Urology, 2005, 65, 388.

[6] James T.: “A benign tumor of the cervix uteri a girl three years old”. J. Obst. Gyn. Br. Emp., 1951, 58, 762.

[7] Janovski N.A., Kasdon E.J.: “Benign mesonephric papillary and polypoid tumors of the cervix in childhood”. J. Pediatrics, 1963, 63, 211.

[8] Ulbright T.H., Alexander R.W., Kraus F.T.: “Intramural papilloma of the vagina evidence of müllerian histogenesis”. Cancer, 1981, 48, 2260.

[9] Novak E., Woodruff D.J., Novak E.R.: “Probable mesonephric origin of certain female genital tumors”. Am. J. Obstet. Gynecol., 1954, 68, 1222.

[10] Selzer I., Nelson H.: “Benign papilloma (polypoid tumor) of the cervix uteri in children”. Am. J. Obstet. Gynecol., 1962, 84, 165.

[11] Hollowell M.L., Goulart R.A., Gang D.L., Otis C.N., Prior J., Sachs B.F., Pantanowitz L.: “Cytologic features of müllerian papilloma of the cervix: mimic of malignancy”. Diagn. Cythopathol., 2007, 35, 607.

[12] Biesecker L.G., Happle R., Mulliken J.B., Weksberg R., Graham J.M. Jr., Viljoen D.L., Cohen M.M. Jr.: “Proteus syndrome: diagnostic criteria, differential diagnosis and patient evaluation”. Am. J. Med. Genet., 1999, 84, 389.

[13] Cohen Jr M.M., Hayden P.W.: “A newly recognized hamartomatous syndrome”. Birth. Defects Orig. Artic. Ser., 1979, 15, 291.

[14] Wiedemann H.R., Burgio G.R., Aldenhoff P., Kunze J., Kaufmann H.J., Schirg E.: “The Proteus syndrome. Partial gigantism of the hands and/or feet, nevi, hemihypertrophy, subcutaneous tumors, macrocephaly or other skull anomalies and possible accelerated growth and visceral affections”. Eur. J. Pediatr., 1983, 140, 5.

[15] Turner J.T., Cohen Jr. M.M., Biesecker L.G.: “Reassessment of the Proteus syndrome literaure: application of diagnostic criteria to published cases”. Am. J. Med. Gen., 2004, 130A, 111.

[16] Happle R.: “Lethal genes surviving by mosaicism: a possible explanation for sporadic birth defects involving the skin”. J. Am. Acad. Dermatol., 1987, 16, 899.

[17] Biesecker L.: “The challenges of Proteus syndrome: diagnosis and management”. Eur. J. Hum. Genet., 2006, 14, 1151.

[18] Gordon P.L., Wilroy R.S., Lasater O.E., Cohen Jr M.M.: “Neoplasms in Proteus syndrome”. Am. J. Med. Genet., 1995, 57, 74.

[19] McCluggage W.G., Nirmala V., Radhakumari K.: “Intramural müllerian papilloma of the vagina”. Int. J. Gynecol. Pathol., 1999, 18, 94.

[20] Cohen M., Pedemonte L., Drut R.: “Pigmented müllerian papilloma of the vagina”. Histopathology, 2001, 39, 541.

[21] Andrews C.F., Jourdain L., Damjanov I.: “Benign cervical mesonephric papilloma of childhood: report of a case studied by light and electron microscopy”. Diag. Gynecol. Obstet., 1981, 3, 39.

[22] Smith Y.R., Quint E.H., Hinton E.L.: “Recurrent benign Müllerian papilloma of the cervix”. J. Pediatr. Adolesc. Gynecol., 1998, 11, 29.

[23] Dobbs S.P., Shaw P.A.V., Brown L.I.R., Ireland D.: “Borderline malignant change in recurrent müllerian papilloma of the vagina”. J. Clin. Pathol., 1998, 51, 875.

[24] Abu J., Nunns D., Ireland D., Brown L.: “Malignant progression through borderline changes in recurrent müllerian papilloma of the vagina”. Histopathology, 2003, 42, 510.

[25] Norris H.J., Bagley G.P., Taylor H.B.: “Carcinoma of the infant vagina. A distinctive tumor”. Arch. Path., 1970, 90, 473.

[26] Arbo E., dos Reis R., Uchoa D.: “Acceta. Vaginal Muellerian papilloma in a 2-year-old child”. Gynecol. Obstet. Invest., 2004, 58, 55.

[27] Reck-Burneo C.A., Villanueva J., Velcek F.T.: “Vaginal Mullerian papilloma: an unusual cause of vaginal bleeding in a toddler”. J. Pediatr. Adolesc. Gynecol., 2009, 22, 124.

[28] Tumini S., Carinci S., Anzellotti M.T., Chiesa P.L., Rossi C., Stuppia L. et al.: “Genital sanguineous discharge in prepuberty: a case of mullerian papilloma of vagina in a nine year-old girl”. J. Pediatr. Endocrinol. Metabol., 2010, 23, 831.

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