Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70%...
Transcript of Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70%...
Peutz-Jeghers Syndrome
Chad Manning
Background
• Autosomal dominant
• 1/25000 affected worldwide
• 70% familial cases 50% sporadic cases mutated in the STK11 gene
• 16p13.3 encoding for serine/threonine kinase 11
• Relationship is unknown
Clinical Features
• Benign growths (polyps) in small intestine (stomach/bowel)
• Abdominal pain and internal bleeding
• Breast, testicular, pancreatic cancers
• Dark-brown or dark-blue spots on lips, gums, inside mouth, around mouth, eyes, nostrils (mucocutaneous macules)
Diagnosis
• Gastrointestinal polyps and pigmented spots
• X-irradiation of abdomen or endoscopy detects polyps
• Polyps have distinct shape and histological composition
• DNA test available for asymptomatic individuals
Treatment
• Polyps removed surgically
• Electrocautery snare
• Exams for cancer and treatment
References
• www.netterimages.com/.../ 001/1322-150x150.jpg
• www.edu.rcsed.ac.uk
• Pasternak, Jack J. Human Molecular Genetics. 2nd edition. 2005.