Peutz-Jeghers syndrome: Difference between revisions

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	Peutz-Jeghers syndrome;
ICD-10	Q85.8
ICD-9	759.6
OMIM	175200
DiseasesDB	9905
MeSH	D010580

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Revision as of 23:58, 20 January 2012

For patient information click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Diagnosis

Causes of Peutz-Jeghers syndrome

History & Symptoms

Natural history, Complications, and Prognosis

Screening

References

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 ==[[Peutz-Jeghers syndrome screening|Screening]]==
-Screening includes [[Esophagogastroduodenoscopy|upper GI endoscopy]], [[enteroclysis]], and [[colonoscopy]] to check for the locations of the hamartomas. To check for cancerous lesions, [[endoscopic ultrasound]], testicular ultrasound and imaging studies of the liver and the pancreas are indicated because of the risk of pancreatic cancer as well as gallbladder polyps and cancer. These imaging studies may include ultrasonography as well as CT with pancreatic details or magnetic resonance cholangiopancreatography (MRCP).
-In addition, an annual physical examination that includes evaluation of the breasts, abdomen, pelvis, and testes should be done by a physician. An annual complete blood count to check for anemia should be done. If bleeding is found, removal of hemorrhagic or large polyps (>5 mm) by endoscopic polypectomy should be performed.
-Some suggestions for surveillance for cancer include the following:
-Small intestine with small bowel radiography every 2 years,
-Esophagogastroduodenoscopy and colonoscopy every 2 years,
-Ultrasound of the pancreas yearly,
-Ultrasound of the pelvis (women) and testes (men) yearly,
-Mammography (women) at ages 25, 30, 35, and 38 years, then every 2 years until age 50 years, then annually, and
-Papanicolaou (Pap) test every year
-Follow-up care should be supervised by a gastroenterologist familiar with Peutz-Jeghers syndrome. Genetic consultation and counseling as well as urological and gynecological consultations are required in the management of these patients.
 == References ==

v t e Phakomatosis (Q85, 759.5–759.6)
Angiomatosis	Sturge–Weber syndrome Von Hippel–Lindau disease
Hamartoma	Tuberous sclerosis Hypothalamic hamartoma (Pallister–Hall syndrome) Multiple hamartoma syndrome Proteus syndrome Cowden syndrome Bannayan–Riley–Ruvalcaba syndrome Lhermitte–Duclos disease
Neurofibromatosis	Type I Type II
Other	Abdallat–Davis–Farrage syndrome Ataxia telangiectasia Incontinentia pigmenti Peutz–Jeghers syndrome Encephalocraniocutaneous lipomatosis

Peutz-Jeghers syndrome: Difference between revisions

Revision as of 23:58, 20 January 2012

Contents

Overview

Diagnosis

Causes of Peutz-Jeghers syndrome

History & Symptoms

Natural history, Complications, and Prognosis

Screening

References

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Peutz-Jeghers syndrome
ICD-10	Q85.8
ICD-9	759.6
OMIM	175200
DiseasesDB	9905
MeSH	D010580