Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70%...

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Peutz-Jeghers Syndrome Chad Manning

Transcript of Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70%...

Page 1: Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70% familial cases 50% sporadic cases mutated in the STK11.

Peutz-Jeghers Syndrome

Chad Manning

Page 2: Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70% familial cases 50% sporadic cases mutated in the STK11.

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

Page 3: Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70% familial cases 50% sporadic cases mutated in the STK11.

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)

Page 4: Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70% familial cases 50% sporadic cases mutated in the STK11.

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

Page 5: Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70% familial cases 50% sporadic cases mutated in the STK11.

Treatment

• Polyps removed surgically

• Electrocautery snare

• Exams for cancer and treatment

Page 6: Peutz-Jeghers Syndrome Chad Manning. Background Autosomal dominant 1/25000 affected worldwide 70% familial cases 50% sporadic cases mutated in the STK11.

References

• www.netterimages.com/.../ 001/1322-150x150.jpg

• www.edu.rcsed.ac.uk

• Pasternak, Jack J. Human Molecular Genetics. 2nd edition. 2005.