Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.

Peutz-Jeghers syndrome is a rare autosomal dominant condition, characterized by gastrointestinal polyposis, mucocutaneous pigmentation and high risk of neoplasia in multiple organs. At pediatric age, major clinical impact is related to complications associated to intestinal polyps, but neoplasic ris...

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Main Authors: Ana I Lopes, Juan Gonçalves, Ana M Palha, Fátima Furtado, António Marques
Format: Article
Language:English
Published: Ordem dos Médicos 2004-12-01
Series:Acta Médica Portuguesa
Online Access:https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1121
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author Ana I Lopes
Juan Gonçalves
Ana M Palha
Fátima Furtado
António Marques
author_facet Ana I Lopes
Juan Gonçalves
Ana M Palha
Fátima Furtado
António Marques
author_sort Ana I Lopes
collection DOAJ
description Peutz-Jeghers syndrome is a rare autosomal dominant condition, characterized by gastrointestinal polyposis, mucocutaneous pigmentation and high risk of neoplasia in multiple organs. At pediatric age, major clinical impact is related to complications associated to intestinal polyps, but neoplasic risk isn't negligible. Though clinical surveillance is recommended since the age of 10 years, relevant lesions may occur before that age. Conventional radiology and endoscopy have recognized limitations at this age group, and new diagnostic and intervention tools, such as video-capsule and per-operative enteroscopy, are not yet widely used. We present 5 pediatric cases (age under 10 years) with diversity of gastrointestinal expression (including one case with histologic evidence of dysplasia in a large colonic polyp), emphasizing the need of specific guidelines concerning young children.
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spelling doaj.art-5b730e98ba4e418ab89907ab6f1a4f0a2022-12-22T04:12:59ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582004-12-0117610.20344/amp.1121Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.Ana I Lopes0Juan GonçalvesAna M PalhaFátima FurtadoAntónio MarquesServiço de Pediatria, Hospital de Santa Maria, Lisboa.Peutz-Jeghers syndrome is a rare autosomal dominant condition, characterized by gastrointestinal polyposis, mucocutaneous pigmentation and high risk of neoplasia in multiple organs. At pediatric age, major clinical impact is related to complications associated to intestinal polyps, but neoplasic risk isn't negligible. Though clinical surveillance is recommended since the age of 10 years, relevant lesions may occur before that age. Conventional radiology and endoscopy have recognized limitations at this age group, and new diagnostic and intervention tools, such as video-capsule and per-operative enteroscopy, are not yet widely used. We present 5 pediatric cases (age under 10 years) with diversity of gastrointestinal expression (including one case with histologic evidence of dysplasia in a large colonic polyp), emphasizing the need of specific guidelines concerning young children.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1121
spellingShingle Ana I Lopes
Juan Gonçalves
Ana M Palha
Fátima Furtado
António Marques
Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.
Acta Médica Portuguesa
title Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.
title_full Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.
title_fullStr Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.
title_full_unstemmed Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.
title_short Sindrome de Peutz-Jeghers. Diversidade de expressão gastrointestinal em idade pediátrica e considerações sobre a sua abordagem clínica.
title_sort sindrome de peutz jeghers diversidade de expressao gastrointestinal em idade pediatrica e consideracoes sobre a sua abordagem clinica
url https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1121
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