|
|
Imaging diagnosis of Peutz-Jeghers Syndrome: a report of two cases with literature reviews |
MA Aidong1, SHI Dongmei2, ZHANG Qianli3 |
1. Department of Radiology, Jining NO.1 People's Hospital, Jining 272001 China; 2. Department of Dermatology, Jining NO.1 People's Hospital; 3. Radiology department, Guizhou cancer hospital |
|
|
Abstract Objective This study aimed to improve the diagnosis and management of PJS.Methods The clinical data and imaging findings of two PJS cases were retrospectively analyzed.Results Both cases were clinically diagnosed as Peutz-Jeghers syndrome with a history of abdominal pain, secondary intussusception of the small intestine polyps and intestinal obstruction, and one of the cases complicated with breast cancer and uterus diseases. The imaging findings consistent with the clinical manifestations.Conclusion Patients with PJS usually present hematochezia, abdominal pain, bowel obstruction. They also have an increasing risk of developing cancer or transformation to malignant polyps in the gastrointestinal tract and other organs. Imaging finding and clinical features of PJS have certain characteristics. Surgical resection may appropriately be used for the patients with polyps.
|
Received: 08 June 2018
|
|
|
|
|
[1] Francis M. Giardiello,Jill D. Trimbath. Peutz-Jeghers Syndrome and Management Recommendations[J]. CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2006, 4:408-415. [2] 王石林, 顾国利. Peutz-Jeghers综合征临床诊断治疗的现状和问题[J].世界华人消化杂志, 2008, 16(21):2385-2389. [3] RebsdorfPederson I, Hartvigsen A, Fischer Hansen B, et al. Management of Peutz-Jeghers syndrome:experience with patients fromthe Danish Polyposis Register[J]. Int J Colorectal Dis, 1994, 9:177-179. [4] BartholomewLG, Moore CE, Dahlin DC, Waugh JM. Intestinal polyposisassociated with mucocutaneous pigmentation[J]. Surg Gynecol Obstet,1962, 115:1-11. [5] Buck JL,Harned RK, Lichtenstein JE, et al. Peutz-Jeghers syndrome[J]. RadioGraphics,1992,12:365-387. [6] SchreibmanIR, Baker M, Amos C, et al. The hamartomatous polyposis syndromes:aclinical and molecular review[J]. Am J Gastroenterol, 2005,100:476-490. [7] StephanieL. Rufener, MD. Khaldoun Koujok, et al. Small Bowel Intussusception Secondaryto Peutz-Jeghers Polyp[J]. RadioGraphics, 2008, 28:284-288. [8] UtsunomiyaJ, Gocho H, Miyanga T, et al. Peutz-Jeghers syndrome:its natural course andmanagement[J]. Johns Hopkins Med J, 1975,136:71-82. [9] SpigelmanAD, Phillips RKS. Peutz-Jeghers syndrome.In:Phillips RKS, Spigelman AD,Thomson JPS, eds. Familial adenomatous polyposis and other polyposis syndromes[J]. London, England:Edward Arnold, 1994,188-202. [10] Su GH,Hruban RH, Bansal RK, et al. Germline and somatic mutations of the STK11/LKB1PeutzeJeghers gene in pancreatic and biliary cancers[J]. Am J Pathol 1999,154:1835-1840. [11] A DBeggs, A R Latchford. PeutzeJeghers syndrome:a systematic review and recommendations formanagement[J]. Gut, 2010, 59:975-986. [12] FlageoleH, Raptis S, Trudel JL, et al. Progression toward malignancy of hamartomasin a patient with Peutz-Jeghers syndrome:a case report and literature review[J]. Can J Surg, 1994,37:231-236. [13] Del-PozoG, Albillos JC, Tejedor D, et al. Intussusception in children:current conceptsin diagnosis and enema reduction[J]. RadioGraphics, 1999,19:299-319. [14] hoiSH, Han JK, Kim SH, et al. Intussusception in adults:from stomach to rectum[J]. AJRAm J Roentgenol, 2004,183:691-698. [15] Swischuk LE, Hayden CK, Boulden T. Intussusceptionindications for ultrasonography and/or explanation of the doughnut andpseudokidney signs[J]. Pediatr Radiol, 1985,15:388-391. |
|
|
|