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Lhermitte duclos disease and Cowden disease: clinical, pathological and neuroimaging study of a case
F Barone1, B A Noubari, A Torrisi
1Division of Neurosurgery, Azienda Ospedaliera di Rilievo Nazionale Garibaldi, Ascoli-Tomaselli, S. Luigi-S. Curro, Catania, Italy.
Insights
Lhermitte-Duclos disease and Cowden disease may be a single phakomatosis. Patients with Lhermitte-Duclos disease require screening for Cowden disease
Area of Science:
- Neurology
- Oncology
- Genetics
Background:
- Lhermitte-Duclos disease (LDD) is a rare condition characterized by dysplastic gangliomatosis of the cerebellum.
- Cowden disease (CD) is a genetic disorder associated with an increased risk of cancer and hamartoma development.
Observation:
- A 26-year-old female presented with symptoms consistent with LDD.
- Preoperative magnetic resonance imaging (MRI) facilitated accurate diagnosis.
- Pathological examination confirmed the diagnosis of LDD.
Findings:
- The case suggests a potential link between LDD and CD, proposing they may represent a single phakomatosis.
- The patient was diagnosed with both LDD and CD.
Implications:
- Screening for CD in patients diagnosed with LDD is recommended.
- Early detection of CD-related lesions can improve patient outcomes.
- Further research is warranted to elucidate the relationship between LDD and CD.
Abstract:
The authors report the case of a 26-year-old female patient affected by Lhermitte Duclos disease and Cowden disease. Preoperative MRI allowed a correct diagnosis which was confirmed by pathological examination. The authors stress the possibility that Lhermitte Duclos and Cowden disease be a single phakomatosis; for this reason all the patients affected by Lhermitte-Duclos should be screened for the presence of multiple hamartomas or malignant neoplastic lesions typical of Cowden disease.
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