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13 Cards in this Set

  • Front
  • Back
Familial adenomatous polyposis (FAP)

1. Genetics?

2. Incidence?

3. presentation?

4. associated tumors?
FAP

1. 95% have mutations in APC

2. MC polyposis syndrome, 1/10K

3. rectal bleeding- TA's fill colon by age 35, lead to CA by 50

4. Gardner syndrome- osteomas, epidermoid cysts, fibromas, desmoid tumors
Peutz-Jeghers syndrome

1. Genetics?

2. Incidence?

3. presentation?

4. associated tumors?
Peutz-Jeghers

1. inactivation of STK11/LKB1 gene

2. 1/100K

3. mucocutaneous pigmented lesions at birth, SI hamartomatous polyps.

4. In adulthood prone to adenocarcinomas of GI, breast, lung, pancreas, GYN
Juvenile polyposis coli syndrome

1. Genetics?

2. Incidence?

3. presentation?

4. associated tumors?
JPS

1. SMAD4 or BMPR1A

2. 1/100K

3. child with >5 juvenile polyps in the colon, extracolonic polyps, or polyp and FH. Juvenile polyps are large with mixed inflammation and expanded LP, cystically dilated glands. High risk for GI malignancies

4.
Cowden's disease

Familial adenomatous polyposis (FAP)

1. Genetics?

2. Incidence?

3. presentation?

4. associated tumors?
CD

1. PTEN (chr 10)

2. 1/200K

3. multiple facial tricholemmomas around mouth and eyes, cafe au lait spots, vitiligo, epidermoid cysts, skin CAs, GI tract polyps (mostly juvenile polyps)

4.50% lifetime risk of breast and 10% risk of thyroid CA
Li Fraumeni syndrome

1. gene

2. MC tumors
1. TP53 (17p)

2. sarcomas, breast, adrenocortical, CNS (choroid plexus carcinomas)
Fanconi Anemia

1. gene

2. MC tumors
1. BRCA2, FANCA, 13 others

2. AML, MDS result in aplastic anemia
MEN1

1. gene

2. mc tumors
1. MEN1 (11q)

2. affects parathyroid, pancreas and pituitary= MC is parathyroid tumors in 95%
MEN2A

1. gene

2. mc tumors
1. RET

2. medullary thyroid CA, pheochromocytoma, parathyroid hyperplasia, 90% get thyroid CA
MEN2B

1. gene

2. mc tumors
1. RET

2. medullary thyroid CA, pheochromocytoma, also GI tract ganglioneuromas
Muir Torre Syn

1. a variant of what?
2. genes?
3. assciated tumors?
1. HNPCC, AD inheritance
2. MLH1, MSH2
3. All HNPCC tumors, plus subacious adenomas/CA, keratoacanthomas
Von Hippel Lindau

1. genetics

2. assc tumors
1. VHL , incidence is 1:36,000, AD, on 3p

2. Pheochromocytoma, RCC (clear cell). B9: renal/pancreatic, & epidydimal cystadenomas
Hemangioblastomas in brain- produces EPO
Carney's syndrome

1.
2.
3.
Carny's syndrome

1. Myxomas of heart/skin
2. adrenal hypercortisolism
3. schwannomas/Sertoli leydig tumors
carney's complex

Women with:
1.
2.
3.
carney's complex

1. extra-adrenal paragangliomas
2. GIST
3. pulmonary chondromas