Hereditary leiomyomatosis and renal cell cancer syndrome: An update and review

Viral M. Patel, Marc Z. Handler, Robert A. Schwartz, W. Clark Lambert

Research output: Contribution to journalReview article

29 Scopus citations


Hereditary leiomyomatosis and renal cell cancer (HLRCC) syndrome is a rare genetic disorder that predisposes individuals to multiple cutaneous leiomyomas, renal cell carcinomas, and in women, uterine leiomyomas. Also known as Reed syndrome, it is caused by a germline heterozygous mutation of the fumarate hydratase tumor suppressor gene. HLRCC is associated with significant morbidity because of pain from cutaneous and uterine leiomyomas, the cutaneous pain often of unique character. Although genetic testing is currently considered the criterion standard to diagnose HLRCC, newer immunohistochemistry markers may provide rapid and cost effective alternatives to genetic testing. Because of the potentially aggressive nature of renal cell carcinomas that develop as early as in childhood, close annual cancer surveillance is desirable in individuals with HLRCC. In this review, we offer an update and an approach to the diagnosis, management, and renal cancer surveillance in HLRCC.

Original languageEnglish (US)
Pages (from-to)149-158
Number of pages10
JournalJournal of the American Academy of Dermatology
Issue number1
StatePublished - Jul 2017


All Science Journal Classification (ASJC) codes

  • Dermatology


  • Reed syndrome
  • cancer surveillance
  • cutaneous leiomyomas
  • piloleiomyomas
  • renal cancer
  • uterine leiomyomas

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