Kennedy Robert A, Thavaraj Selvam, Diaz-Cano Salvador
Head and Neck Pathology, King's College London Dental Institute, Guy's & St, NHS Foundation Trust, London, SE1 9RT, UK.
Head and Neck Pathology, Guy's Hospital, Floor 4, Tower Wing, Great Maze Pond, London, SE1 9RT, UK.
Head Neck Pathol. 2017 Sep;11(3):364-376. doi: 10.1007/s12105-017-0778-1. Epub 2017 Jan 21.
Several autosomal dominant inherited tumour syndromes demonstrate prominent features in the oral and maxillofacial region. Although multiple organ systems are frequently involved, the target organs more frequently affected are the skin (nevoid basal cell carcinoma syndrome, Brooke-Spiegler syndrome, Birt-Hogg-Dube syndrome and Muir-Torre syndrome), gastrointestinal tract (Peutz-Jegher syndrome and Gardner syndrome) or endocrine system (multiple endocrine neoplasia type 2b and hyperparathyroidism-jaw tumour syndrome). In some syndromes, the disease is multisystem with skin index lesions presenting in the head and neck (Cowden syndrome and tuberous sclerosis complex). The pertinent features of these syndromes are reviewed with a systems-based approach, emphasising their clinical impact and diagnosis.
几种常染色体显性遗传肿瘤综合征在口腔颌面部区域表现出显著特征。尽管多个器官系统常受累,但更常受影响的靶器官是皮肤(痣样基底细胞癌综合征、布鲁克-施皮格勒综合征、比特-霍格-杜布综合征和穆尔-托雷综合征)、胃肠道(佩-吉综合征和加德纳综合征)或内分泌系统(2b型多发性内分泌腺瘤病和甲状旁腺功能亢进-颌骨肿瘤综合征)。在某些综合征中,疾病是多系统的,头部和颈部出现皮肤标志性病变(考登综合征和结节性硬化症复合体)。本文采用基于系统的方法对这些综合征的相关特征进行综述,强调其临床影响和诊断。