Presentation
All presented with intermittent abdominal pain and other upper abdominal symptoms such as bloating and nausea. [sages.org]
[…] of CRC -Suspicious symptoms or signs like change in bowel habits or anemia -Asymptomatically discovered from screening -Emergency presentation with bleed, peritonitis, or obstruction Right-Sided CC Common Presentation Anemia without changes in stool/ [quizlet.com]
Age Patients with FAP generally present in late adolescence with symptoms of polyposis (GI bleeding). [emedicine.medscape.com]
This presentation will summarize the characteristic features and red flags of certain hereditary polyposis syndromes. Originally presented on February 12, 2015 in Park City, Utah. [arup.utah.edu]
Presentation Adenomas usually begin to develop during the second decade of life. Unfortunately, it often presents with colorectal cancer. The median age at diagnosis is 40 years [ 5 ]. [patient.info]
Entire Body System
- Broad Thumb
[…] presents with complications from generalized polyposis associated with typical hyperpigmented skin findings. [53] Gorlin syndrome Physical characteristics associated with GS include the following: Skin - Basal cell nevi and carcinoma Craniofacial - Broad [emedicine.medscape.com]
- Coarctation of the Aorta
[…] of the aorta, patent ductus arteriosus, subvalvular aortic stenosis) CNS - Macrocephaly, hydrocephalus, spina bifida GI - Undescended testes, bifid uterus and vagina, abnormal UPJ insertion, unilateral renal agenesis Skeletal - Osteoma, abnormal facies [emedicine.medscape.com]
Respiratoric
- Anosmia
[…] syndrome Cronkhite-Canada syndrome is a clinical syndrome with high mortality that presents with the following: Generalized GI polyposis (sparing the esophagus) Dermal pigmentation and atrophy of the nail beds, alopecia Other characteristics may include anosmia [emedicine.medscape.com]
Gastrointestinal
- Tenesmus
[…] adenomatous polyposis (Gardner syndrome) Inherited component (polyposis syndromes) Protuberance into the lumen of the normally flat colonic mucosa Mostly asymptomatic GI Bleeding (from polyp becoming loose) Intestinal Obstruction (so large it obstructs) BRBPR Tenesmus [quizlet.com]
The common presentations are rectal bleeding, mucous diarrhea, or tenesmus. The number of polyps can vary from 1 to over 100 [32]. They are sessile or semipedunculated. [file.scirp.org]
Jaw & Teeth
- Dysgeusia
The diagnosis of this patient (as with any case of CCS) involves a clinicopathologic correlation of endoscopic, pathologic, and cutaneous features. 1,2 Patients may have dysgeusia and diarrhea and may be positive for antinuclear antibodies. 1-3 Approximately [gastroenterologyandhepatology.net]
Hypogeusia or dysgeusia, progressive anorexia, xerostomia, or neurologic symptoms (such as seizures) has also been reported [3], although our patient did not have these symptoms. [file.scirp.org]
- Prognathism
[53] Gorlin syndrome Physical characteristics associated with GS include the following: Skin - Basal cell nevi and carcinoma Craniofacial - Broad facies, including nasal root, bossing of frontal and parietal bones, cleft lip and palate, mandibular prognathism [emedicine.medscape.com]
Face, Head & Neck
- Mandibular Prognathism
prognathism, dental anomalies (odontogenic keratocysts) Ocular - Strabismus, hypertelorism, colobomas, subconjunctival epithelial cysts, glaucoma Cardiac - Cardiac fibromas Pulmonary - Congenital lung cyst, rib anomalies GI - Hamartomatous gastric polyps [emedicine.medscape.com]
Workup
Saliva
- Excessive Drooling
Children often present with developmental delay, mild mental retardation, excessive drooling and hypotonia. [emedicine.medscape.com]
Treatment
These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. [books.google.com]
[…] medical treatment for CCS. [gastroenterologyandhepatology.net]
Gorlin syndrome Patients with GS may require subspecialty support for treatment of craniofacial and ophthalmologic abnormalities, management of scoliosis, and surveillance and treatment of potential neoplasias (eg, medulloblastoma, basal cell carcinoma [emedicine.medscape.com]
Treatment is colectomy. Familial adenomatous polyposis (FAP) is an autosomal dominant disease in which ≥ 100 adenomatous polyps carpet the colon and rectum. The disorder occurs in 1 in 8,000 to 14,000 people. [merckmanuals.com]
Prognosis
Epidemiology Occurs in one in 10,000–30,000 live births < 1% of colorectal cancers in the U.S. are due to FAP Both sexes equally affected Polyposis typically develops within the third decade of life Clinical features Diagnosis Treatment Prognosis : The [amboss.com]
The prognosis associated with this disease is excellent, and the risk of malignant change, if it really exists, is minimal. [pediatrics.aappublications.org]
Prognosis The prognosis of JIP is based on the risk of developing GI or pancreatic cancer after 20 years of age. The cumulative risk for developing cancer in patients with JIP is 20% at the age of 35 years and 68% after the age of 60 years. [orpha.net]
[…] in Familial Adenomatous Polyposis 196 Surgery for Familial Adenomatous Polyposis 203 Duodenal Adenomas in Familial Adenomatous Polyposis 219 FAPAssociated Desmoid Tumours 238 Attenuated Familial Adenomatous Polyposis Diagnosis Management and Future Prognosis [books.google.com]
Etiology
Colonoscopy ( confirmatory test ) References: [1] Treatment Treatment depends on the etiology and nature of the polyp or polyps. References: [1] [2] [amboss.com]
Etiology JIP is transmitted in an autosomal dominant manner and mutations in the SMAD4 (18q21.1) and BMPR1A (10q22.3) genes have been associated with the disease. However, no genetic anomalies have been identified so far in around 60% of the cases. [orpha.net]
The etiology of CCS is still obscure, but an autoimmune process has been suggested. [file.scirp.org]
(Etiology) Juvenile Polyposis Syndrome is caused by mutation(s) in the BMPR1A and SMAD4 genes. [dovemed.com]
Ongoing controversies regarding etiology, diagnosis, treatment The major debate in management is whether to attempt to clear the small intestine of polyps in childhood. Specific cancer surveillance recommendations are also controversal. [clinicaladvisor.com]
Epidemiology
EPIDEMIOLOGY JPS is rare, with an estimated incidence of 1 in 100,000 to 160,000 individuals [ 1 ]. GENETICS JPS is an autosomal dominant condition with incomplete penetrance [ 5 ]. [uptodate.com]
Epidemiology References: [1] [2] [3] Epidemiological data refers to the US, unless otherwise specified. Etiology Classification The majority of colon carcinomas develop from adenomas ( adenoma‑carcinoma sequence). [amboss.com]
* The School of Medicine, The University of Queensland, Brisbane, Qld † Genetic Epidemiology Laboratory, Department of Pathology, The University of Melbourne, Carlton, Vic., Australia The authors have no funding or conflicts of interest to disclose. [journals.lww.com]
Summary Epidemiology Annual incidence is estimated at between 1/100,000 and 1/15,000. [orpha.net]
[…] general Autosomal dominant familial polyposis syndrome due to a defect in the APC gene (5q21) which prototypically results in numerous ( > 100) colonic adenomatous polyps Terminology Also known as familial polyposis coli or adenomatous polyposis coli Epidemiology [pathologyoutlines.com]
Pathophysiology
Despite increased knowledge on the pathophysiological process, many aspects remain rather unclear, especially concerning IBD. [books.google.com]
[…] epithelium [CHRPE]) or juvenile nasopharyngeal angiofibromas Gardner syndrome encompasses the subset of FAP patients with extraintestinal tumors Turcot syndrome encompasses the subset of FAP patients with brain tumors, which are typically medulloblastomas Pathophysiology [pathologyoutlines.com]
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 126. [medlineplus.gov]
Often the first presentation is a bowel obstruction from an intussusception which is a common cause of mortality; an intussusception is a telescoping of one loop of bowel into another segment. [ citation needed ] Pathophysiology [ edit ] Genetics [ edit [en.wikipedia.org]
Prevention
The aim of the researchers will be to prevent these disorders through early detection and intervention, thanks to genetic therapy. [books.google.com]
Using risk assessment strategies, preventive measures, and the full range of diagnostic modalities, clinicians at the Hereditary Colorectal Tumor Program provide an opportunity for these people to prevent cancer and increase quality of life. Dr. [fascrs.org]
signs & symptoms, diagnosis, complications, treatment, prevention, prognosis, and additional useful information HERE. [dovemed.com]
Polyps found during preventive screening are immediately treated by polypectomy. Preventive screening may also reveal suspicious growths in the gastrointestinal tract or outside of it. [encyclopedia.com]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.de]