[Current research status of Peutz-Jeghers syndrome in children]
1Department of Digestive Nutrition, Hunan Children's Hospital, Changsha 410007, China.
Insights
Peutz-Jeghers syndrome (PJS) is a rare genetic disorder causing pigment spots and polyps, increasing cancer risk. In children, intussusception is a major concern, impacting growth and quality of life.
Area of Science:
- Genetics
- Pediatrics
- Oncology
Background:
- Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder.
- Characterized by mucocutaneous pigmentation and hamartomatous polyps.
- Leads to increased susceptibility to various tumors.
Purpose of the Study:
- To provide an overview of PJS in children.
- Covering clinical characteristics, etiology, pathogenesis, diagnosis, and treatment.
- Highlighting the risks associated with childhood PJS.
Main Methods:
- Review of current research on PJS in pediatric patients.
- Analysis of genetic factors, specifically the STK11/LKB1 gene.
- Examination of clinical manifestations and complications.
Main Results:
- PJS is linked to the STK11/LKB1 gene on chromosome 19p13.3.
- Complications include gastrointestinal bleeding, intussusception, obstruction, and malignancy.
- Intussusception poses the greatest risk in childhood, requiring surgical intervention.
Conclusions:
- PJS significantly impacts children's growth, development, and quality of life.
- Early diagnosis and management are crucial for pediatric PJS patients.
- Further research is needed to optimize treatment strategies for childhood PJS.
Abstract:
Peutz-Jeghers syndrome (PJS) is an autosomal dominant genetic disorder characterized by mucocutaneous pigmentation and multiple hamartomatous polyps, which leads to an increased susceptibility to tumors. The clinical incidence is rare, and the only currently identified pathogenic gene is the serine/threonine kinase 11/liver kinase B1 (STK11/LKB1) located on the short arm of chromosome 19 (19p13.3). This condition can lead to various complications, such as gastrointestinal bleeding, intussusception, intestinal obstruction, and malignancy. In childhood, the greatest risk is associated with intussusception, which increases the risk of surgical intervention and significantly impacts the growth, development, and quality of life of the children. This article provides an overview of the current research status regarding the clinical characteristics, etiology, pathogenesis, diagnosis, and treatment of PJS in children.
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