Sarin Sanjay, Bernath Albert
Department of Internal Medicine, Geisinger Medical Center, Danville, PA 17822-2160, USA.
South Med J. 2008 Dec;101(12):1273-4. doi: 10.1097/SMJ.0b013e3181883853.
Turcot's syndrome (glioma-polyposis) is a rare hereditary disorder characterized by association of colonic polyposis with primary tumors of the central nervous system. We report a case of a 27-year-old male diagnosed with Turcot's syndrome after an autopsy. The patient survived for more than two decades after his initial presentation with medulloblastoma at the age of five years. Such a long survival is exceptional in patients with this syndrome. Based on the genetic mutations, the patients with Turcot's syndrome are classified into adenomatous polyposis coli (APC) group or hereditary non-polyposis colon cancer (HNPCC) group. The article highlights the contrasting features of the two groups.
图尔科特综合征(胶质瘤-息肉病)是一种罕见的遗传性疾病,其特征是结肠息肉病与中枢神经系统原发性肿瘤相关联。我们报告一例27岁男性病例,该患者在尸检后被诊断为图尔科特综合征。该患者5岁时首次出现髓母细胞瘤,此后存活了二十多年。在患有这种综合征的患者中,如此长的生存期是罕见的。根据基因突变情况,图尔科特综合征患者被分为腺瘤性息肉病 coli(APC)组或遗传性非息肉病性结肠癌(HNPCC)组。本文重点介绍了这两组的不同特征。