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Cancer problem in Peutz-Jeghers syndrome
Diana Taheri1, Noushin Afshar-Moghadam, Parvin Mahzoni
1Department of Pathology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Peutz-Jeghers syndrome (PJS) patients have an increased risk of malignancies. This case highlights an incidental ovarian sex cord tumor with annular tubules diagnosis in a PJS patient, reinforcing the need for routine cancer screening.
Area of Science:
- Oncology
- Genetics
- Gynecology
Background:
- Peutz-Jeghers syndrome (PJS) is a rare autosomal dominant disorder.
- PJS is characterized by hamartomatous polyps and mucocutaneous pigmentation.
- PJS increases the risk of various malignancies, including ovarian neoplasms.
Observation:
- A 42-year-old woman with a history of PJS and bilateral breast cancer presented with abnormal uterine bleeding.
- The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy.
- An incidental diagnosis of ovarian sex cord tumor with annular tubules (SCTAT) was made.
Findings:
- SCTAT is associated with PJS in approximately one-third of cases.
- This case adds to the literature linking PJS with gynecological malignancies.
- The patient's presentation underscores the complexity of PJS-associated neoplasms.
Implications:
- Routine screening for malignancies is crucial for individuals with Peutz-Jeghers syndrome.
- Early detection of PJS-related cancers can improve patient outcomes.
- Further research into the specific cancer risks associated with PJS is warranted.
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