title: Novel presentation of a familial pancreatic cancer syndrome.
abstract: BACKGROUND
  Earlier detection of pancreatic cancer may help identify patients for whom surgical intervention could provide cure or prolong life. In this article, we report the occurrence of breast cancer, melanoma, squamous cell carcinoma of the alveolar ridge, colon cancer, a desmoid tumor of the abdominal wall, and pancreatic adenocarcinoma in a 65-year-old woman. She was identified as having the familial atypical multiple mole melanoma-pancreatic cancer syndrome (FAMMM-PC) with a germline p16 mutation at amino acid position 15.
  
  
  CONCLUSIONS
  Patients with this syndrome traditionally present with multiple nevi and melanoma, and a subset also present with other cancers, including pancreatic cancer; however, no FAMMM-PC patient has yet been described with this constellation of cancers, including squamous cell carcinoma of the alveolar ridge and a desmoid tumor. Recognition of the tumors this population of patients is susceptible to developing and their genetic associations can help guide the surgeon in screening, surveillance, and eventually prevention of many of these cancers.
authors.affiliation: Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. ajaymaker@gmail.com
authors.forename: Ajay V
authors.initials: AV
authors.lastname: Maker
authors.forename: James A
authors.initials: JA
authors.lastname: Warth
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Zinner
mesh_terms: D000230:Adenocarcinoma / Q000235:genetics* / Q000601:surgery; D000368:Aged; D002899:Chromosomes, Human, Pair 9; D003062:Codon; D005091:Exons; D005260:Female; D019942:Genes, p16; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing; D018095:Germ-Line Mutation; D006801:Humans; D010190:Pancreatic Neoplasms / Q000235:genetics* / Q000601:surgery; D013577:Syndrome
chemical_list: D003062:Codon