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一例表现为多发性肠套叠的散发性黑斑息肉综合征病例。

A case of sporadic Peutz-Jeghers syndrome presenting as multiple intussusceptions.

作者信息

Gorji Leva, Huish Grant, Morgan Joshua, Levy Paul

机构信息

Kettering Health - Washington Township, Department of Surgery, Washington Township, OH, USA.

出版信息

J Surg Case Rep. 2022 Mar 9;2022(3):rjac070. doi: 10.1093/jscr/rjac070. eCollection 2022 Mar.

DOI:10.1093/jscr/rjac070
PMID:35280052
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8907407/
Abstract

Peutz-Jeghers syndrome (PJS) is an autosomal dominant mutation of the STK11/LKB1 gene on chromosome 19 often characterized by mucocutaneous pigmentation, hamartomatous polyps, anemia, gastrointestinal bleeding and intussusception. We present the case of a 21-year-old female with no pertinent family history who received the diagnosis of PJS after presenting to the hospital with two episodes intussusception. Patients with PJS have an increased lifetime risk of developing stomach, small bowel, colon, pancreatic, breast, cervical, uterus and testicular cancer requiring religious surveillance at an early age.

摘要

黑斑息肉综合征(PJS)是19号染色体上STK11/LKB1基因的常染色体显性突变,其特征通常为黏膜皮肤色素沉着、错构瘤性息肉、贫血、胃肠道出血和肠套叠。我们报告一例21岁女性病例,该患者无相关家族病史,因两次肠套叠入院后被诊断为PJS。PJS患者一生中患胃癌、小肠癌、结肠癌、胰腺癌、乳腺癌、宫颈癌、子宫癌和睾丸癌的风险增加,因此需要在幼年时进行严格监测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/c120fabc9bad/rjac070f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/8c5b61d5bb2b/rjac070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/b4641a9c232c/rjac070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/c120fabc9bad/rjac070f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/8c5b61d5bb2b/rjac070f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/b4641a9c232c/rjac070f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14f3/8907407/c120fabc9bad/rjac070f3.jpg

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本文引用的文献

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2
Morphologic characterization of hamartomatous gastrointestinal polyps in Cowden syndrome, Peutz-Jeghers syndrome, and juvenile polyposis syndrome.考登综合征、黑斑息肉综合征和幼年息肉病综合征中错构瘤性胃肠道息肉的形态学特征
Hum Pathol. 2016 Mar;49:39-48. doi: 10.1016/j.humpath.2015.10.002. Epub 2015 Oct 31.
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年轻女性患者 Peutz-Jeghers 综合征合并直肠癌 1 例报告。
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International Cancer of the Pancreas Screening (CAPS) Consortium summit on the management of patients with increased risk for familial pancreatic cancer.国际胰腺癌筛查(CAPS)联盟关于家族性胰腺癌高危患者管理的峰会。
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