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Peutz-Jeghers Syndrome
Chad Manning
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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
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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)
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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
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Treatment Polyps removed surgically Electrocautery snare
Exams for cancer and treatment
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References www.netterimages.com/.../ 001/1322-150x150.jpg
Pasternak, Jack J. Human Molecular Genetics. 2nd edition
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