Abstract
The vast majority of skin cancers can be classified into two main types: melanoma and keratinocyte carcinomas. The most common keratinocyte carcinomas include basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). Multiple familial syndromes have been identified that can increase the risk of developing SCC, BCC, and/or melanoma. The major syndromes include oculocutaneous albinism for SCC, basal cell nevus syndrome for BCC, familial atypical multiple mole-melanoma syndrome, and hereditary breast and ovarian cancer syndrome for melanoma. In addition, familial syndromes that can predispose individuals to all three major skin cancers include xeroderma pigmentosum and Li–Fraumeni syndrome. This review highlights the epidemiology, risk factors, pathogenesis, and etiology of the major and minor syndromes to better identify and manage these conditions. Current investigational trials in genomic medicine are making their way in revolutionizing the clinical diagnosis of these familial syndromes for earlier preventative measures and improvement of long-term prognosis in these patients.
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Abbreviations
- AD:
-
Autosomal dominant
- AR:
-
Autosomal recessive
- BAP1-TPDS:
-
BRCA-1-Associated protein-1 tumor predisposition syndrome
- BCC:
-
Basal cell carcinoma
- BCNS:
-
Basal cell nevus syndrome
- DC:
-
Dyskeratosis congenita
- EB:
-
Epidermolysis bullosa
- EBM:
-
Epidermal basement membrane
- EV:
-
Epidermodysplasia verruciformis
- EVER1:
-
Epidermodysplasia verruciformis 1
- FAMMM:
-
Familial atypical multiple mole-melanoma syndrome
- HBOCS:
-
Hereditary breast and ovarian cancer syndrome
- HPV:
-
Human papillomavirus
- HSCT:
-
Hematopoietic stem cell transplant
- JEB-H:
-
Junctional epidermolysis bullosa-type Herlitz
- JEB-NH:
-
Junctional epidermolysis bullosa-type non-Herlitz
- KC:
-
Keratinocyte carcinoma
- LFS:
-
Li–Fraumeni syndrome
- NER:
-
Nucleotide excision repair
- NGS:
-
Next-generation sequencing
- OCA:
-
Oculocutaneous albinism
- POT1:
-
Protection of telomeres 1
- RTS:
-
Rothmund–Thomson syndrome
- SCC:
-
Squamous cell carcinoma
- SHH:
-
Sonic Hedgehog
- SMO:
-
Smoothened
- TERT:
-
Telomerase reverse transcriptase
- TYR:
-
Tyrosinase
- WES:
-
Whole-exome sequencing
- WGS:
-
Whole-genome sequencing
- WS:
-
Werner syndrome
- XP:
-
Xeroderma pigmentosum
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The authors’ contributions are as follows: AK has given idea proposal; HYJ done literature search; HYJ, AEZ, KMH, and AK contributed to draft and critical revision.
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Juan, H.Y., Zhou, A.E., Hoegler, K.M. et al. Overview of familial syndromes with increased skin malignancies. Arch Dermatol Res 315, 707–727 (2023). https://doi.org/10.1007/s00403-022-02447-8
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DOI: https://doi.org/10.1007/s00403-022-02447-8