Challenges in the management of a patient with Cowden syndrome: case report and literature review

<p>Abstract</p> <p>We would like to present a patient with a classical phenotype of a rare disorder - Cowden syndrome, its diagnostics and management challenges. A breast surgeon has to be aware of this rare condition when treating a patient with breast manifestations of Cowden syn...

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Main Authors: Melbārde-Gorkuša Inga, Irmejs Arvīds, Bērziņa Dace, Štrumfa Ilze, Āboliņš Arnis, Gardovskis Andris, Subatniece Signe, Trofimovičs Genādijs, Gardovskis Jānis, Miklaševičs Edvīns
Format: Article
Language:English
Published: BMC 2012-04-01
Series:Hereditary Cancer in Clinical Practice
Subjects:
Online Access:http://www.hccpjournal.com/content/10/1/5
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author Melbārde-Gorkuša Inga
Irmejs Arvīds
Bērziņa Dace
Štrumfa Ilze
Āboliņš Arnis
Gardovskis Andris
Subatniece Signe
Trofimovičs Genādijs
Gardovskis Jānis
Miklaševičs Edvīns
author_facet Melbārde-Gorkuša Inga
Irmejs Arvīds
Bērziņa Dace
Štrumfa Ilze
Āboliņš Arnis
Gardovskis Andris
Subatniece Signe
Trofimovičs Genādijs
Gardovskis Jānis
Miklaševičs Edvīns
author_sort Melbārde-Gorkuša Inga
collection DOAJ
description <p>Abstract</p> <p>We would like to present a patient with a classical phenotype of a rare disorder - Cowden syndrome, its diagnostics and management challenges. A breast surgeon has to be aware of this rare condition when treating a patient with breast manifestations of Cowden syndrome and has to refer the patient to a clinical geneticist for further evaluation. Sequencing of the <it>PTEN </it>gene showed the Asp24Gly mutation. According to the latest literature data, the lifetime risk of breast cancer for Cowden syndrome patients is 81% and surgery is a justified option to reduce the risk of breast cancer. Bilateral risk-reducing mastectomy with immediate reconstruction was performed to eliminate further risk of breast cancer. 3 years after the risk-reducing breast surgery the patient is satisfied with the outcome. This is to our best knowledge the first reported Cowden syndrome case with follow-up data after risk-reducing measures have been taken.</p>
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spelling doaj.art-09b798300aed42b5ba6a36d30d61fecd2022-12-22T03:27:53ZengBMCHereditary Cancer in Clinical Practice1897-42872012-04-01101510.1186/1897-4287-10-5Challenges in the management of a patient with Cowden syndrome: case report and literature reviewMelbārde-Gorkuša IngaIrmejs ArvīdsBērziņa DaceŠtrumfa IlzeĀboliņš ArnisGardovskis AndrisSubatniece SigneTrofimovičs GenādijsGardovskis JānisMiklaševičs Edvīns<p>Abstract</p> <p>We would like to present a patient with a classical phenotype of a rare disorder - Cowden syndrome, its diagnostics and management challenges. A breast surgeon has to be aware of this rare condition when treating a patient with breast manifestations of Cowden syndrome and has to refer the patient to a clinical geneticist for further evaluation. Sequencing of the <it>PTEN </it>gene showed the Asp24Gly mutation. According to the latest literature data, the lifetime risk of breast cancer for Cowden syndrome patients is 81% and surgery is a justified option to reduce the risk of breast cancer. Bilateral risk-reducing mastectomy with immediate reconstruction was performed to eliminate further risk of breast cancer. 3 years after the risk-reducing breast surgery the patient is satisfied with the outcome. This is to our best knowledge the first reported Cowden syndrome case with follow-up data after risk-reducing measures have been taken.</p>http://www.hccpjournal.com/content/10/1/5Cowden syndromePTENCancerRisk-reducing mastectomy
spellingShingle Melbārde-Gorkuša Inga
Irmejs Arvīds
Bērziņa Dace
Štrumfa Ilze
Āboliņš Arnis
Gardovskis Andris
Subatniece Signe
Trofimovičs Genādijs
Gardovskis Jānis
Miklaševičs Edvīns
Challenges in the management of a patient with Cowden syndrome: case report and literature review
Hereditary Cancer in Clinical Practice
Cowden syndrome
PTEN
Cancer
Risk-reducing mastectomy
title Challenges in the management of a patient with Cowden syndrome: case report and literature review
title_full Challenges in the management of a patient with Cowden syndrome: case report and literature review
title_fullStr Challenges in the management of a patient with Cowden syndrome: case report and literature review
title_full_unstemmed Challenges in the management of a patient with Cowden syndrome: case report and literature review
title_short Challenges in the management of a patient with Cowden syndrome: case report and literature review
title_sort challenges in the management of a patient with cowden syndrome case report and literature review
topic Cowden syndrome
PTEN
Cancer
Risk-reducing mastectomy
url http://www.hccpjournal.com/content/10/1/5
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