Hereditary nonpolyposis colorectal cancer physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]Ali Akram, M.B.B.S.[3]

Overview

Patients with hereditary nonpolyposis colorectal cancer usually appear healthy. Physical examination of patients with hereditary nonpolyposis colorectal cancer may show the presence of the fordyce granules.

Physical Examination

General Appearance

Patients are usually well-appearing
Pale
Emaciated

Vital Signs

Vital signs are generally within normal limits, but patients with severe disease may have the following vital signs:

Abdomen

Chest

Decreased/absent breath sounds

Skin

Pallor
Fordyce granules (FGs): Oral ectopic sebaceous glands and alteration in vascular patterns in the oral mucosa

HEENT

Extremities

Swelling of hands and feet

Gallery

Extraoral photograph image showing Fordyce granules in the upper lip (arrows) of individual III:5 with hereditary nonpolyposis colorectal cancer and colorectal cancer.Creative Commons BY-SA-NC^[1]

References

↑ Almeida FT, Gomes RR, Leite AF, Sousa JB, Acevedo AC, Guerra EN. Oral manifestations of hereditary nonpolyposis colorectal cancer syndrome: a family case series. J Med Case Rep. 2014;8:249.

Template:WikiDoc Sources

[creativecommons-1] Almeida FT, Gomes RR, Leite AF, Sousa JB, Acevedo AC, Guerra EN. Oral manifestations of hereditary nonpolyposis colorectal cancer syndrome: a family case series. J Med Case Rep. 2014;8:249.

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