Hamartomatous polyposis syndromes

被引:116
作者
Gammon, Amanda [1 ]
Jasperson, Kory [1 ]
Kohlmann, Wendy [1 ]
Burt, Randall W. [1 ]
机构
[1] Huntsman Canc Inst, Salt Lake City, UT 84112 USA
关键词
hamartomatous polyps Polyps; Peutz-Jeghers syndrome; Cowden syndrome; juvenile polyposis; PTEN hamartoma tumour; STK11; SMAD4; BMPR1A; genetic counselling; genetic testing; PEUTZ-JEGHERS-SYNDROME; GENOTYPE-PHENOTYPE CORRELATIONS; WIRELESS CAPSULE ENDOSCOPY; SMALL-BOWEL SURVEILLANCE; LARGE GENOMIC DELETIONS; JUVENILE POLYPOSIS; COWDEN-SYNDROME; PTEN MUTATION; HIGH PROPORTION; HIGH-RISK;
D O I
10.1016/j.bpg.2009.02.007
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
Hamartomatous polyposis syndromes are a diverse group of inherited conditions grouped together because they exhibit hamartomatous rather than epithelial polyp histology. Each syndrome exhibits characteristic polyp histology, gastrointestinal polyp distribution, gastrointestinal cancer risks, extra-intestinal benign findings and often extra-intestinal cancer risks. Identifying individuals at risk for these syndromes and accurately defining the precise diagnosis are necessary for planning surveillance and management in order to prevent the benign and malignant complications. Characteristic syndrome features including gastrointestinal findings, pathology, genetics, and management options for the three most common hamartomatous polyposis syndromes, Peutz-Jeghers syndrome, PTEN hamartoma turnout syndrome, and juvenile polyposis will be presented in this review. (C) 2009 Elsevier Ltd. All rights reserved.
引用
收藏
页码:219 / 231
页数:13
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