Gastrointestinal polyps and cancer in Peutz-Jeghers syndrome: clinical aspects

被引:30
作者
Latchford, A. R. [1 ,2 ]
Phillips, R. K. S. [2 ]
机构
[1] Derriford Hosp, Dept Gastroenterol, Plymouth PL6 8DH, Devon, England
[2] St Marks Hosp, Polyposis Registry, Harrow, Middx, England
关键词
Surveillance; Cancer; Peutz-Jeghers syndrome; Polyp; VIDEO CAPSULE ENDOSCOPY; SMALL-BOWEL POLYPS; OF-THE-LITERATURE; HAMARTOMATOUS POLYPS; COLORECTAL-CANCER; INCREASED RISK; MANAGEMENT; SURVEILLANCE; LKB1; CYCLOOXYGENASE-2;
D O I
10.1007/s10689-011-9442-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The two main problems in the management of the gastrointestinal tract in patients with Peutz-Jeghers syndrome (PJS) are the long term cancer risk and managing polyp related complications, such as intussusception and bleeding. In this article we will focus mainly on the clinical management of these problems. We will highlight some of the controversies regarding gastrointestinal PJS polyps, cancer development and cancer risk. We will review the available literature, particularly focusing on clinical data, to provide insights into these controversies. We describe guidelines for the surveillance and management of gastrointestinal polyps in PJS and review the data behind current recommendations.
引用
收藏
页码:455 / 461
页数:7
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