peutz-jeghers syndrome with diffuse gastrointestinal polyposis: three cases in a family with different manifestations and no evidence of malignancy during 14 years follow up

نویسندگان

esfandiar matini department of pediatrics, islamic azad university, tehran medical sciences branch, tehran, ir iran

hooman houshangi department of gastroenterology, islamic azad university, tehran medical sciences branch, tehran, ir iran

ehsan jangholi young researchers and elite club, islamic azad university, tehran medical sciences branch, tehran, ir iran; young researchers and elite club, islamic azad university, tehran medical sciences branch, tehran, ir iran. tel: +98-2122006660, fax: +98-2122846593

pantea farjad azad department of clinical pathology, islamic azad university, tehran medical sciences branch, tehran, ir iran

چکیده

conclusions the patients with diffuse pjs may be asymptomatic and without gastrointestinal or extragastrointestinal malignancies. introduction peutz-jeghers syndrome (pjs) is a rare disorder characterized by mucocutaneous perioral pigmentation, gastrointestinal hamartomatous polyposis, and an increased risk of malignancy. families with pjs may show a variable spectrum of manifestations in spite of their consecutive generations. a probable explanation is novel mutations in contributing genes. case presentation this report describes 3 cases of a family. two daughters presented the classic pjs, while their father only manifested mucocutaneous perioral pigmentation. the junior daughter was underwent 3 and the eldest daughter 2 laparotomies for intussusception. the patients were visited annually and their medical findings were recorded during a follow-up period of 14 years. they were periodically examined in our hospital and despite conveying diffuse polyposis from the esophagus throughout the rectum in these three cases, even a simple hyperplasia was not found in obtained specimens.

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Peutz-Jeghers Syndrome With Diffuse Gastrointestinal Polyposis: Three Cases in a Family With Different Manifestations and No Evidence of Malignancy During 14 Years Follow Up.

INTRODUCTION Peutz-Jeghers syndrome (PJS) is a rare disorder characterized by mucocutaneous perioral pigmentation, gastrointestinal hamartomatous polyposis, and an increased risk of malignancy. Families with PJS may show a variable spectrum of manifestations in spite of their consecutive generations. A probable explanation is novel mutations in contributing genes. CASE PRESENTATION This repor...

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Patients with the Peutz-Jeghers syndrome carry a slight, though definite, increased risk of gastrointestinal carcinoma.The malignant potentiality of Peutz-Jeghers hamartomatous polyps, generally considered benign, is supported by this report. Two cases of metastasising gastrointestinal carcinoma associated with the Peutz-Jeghers syndrome are described in a 56 year old female and her 29 year old...

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One of the clinicopathological criteria for diagnosing Peutz-Jeghers syndrome (PJS) is mucocutaneous pigmentation. We present a 57-year-old Iranian female patient with diffuse pigmentation in buccal and labial mucosa. The first colonoscopy revealed one 0.5 cm rectal polyp. However surveillance colonoscopies over a 7-year polyp showed over 100 colorectal polyps.

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عنوان ژورنال:
iranian red crescent medical journal

جلد ۱۷، شماره ۱۲، صفحات ۰-۰

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