Hamartoma history and symptoms: Difference between revisions
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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]
Overview
Hamartomas are usually asymptomatic. However, in some cases such as hypothalamic hamartomas and pulmonary hamartomas, symptoms may be more noticeable. Common symptoms of hypothalamic hamartomas include seizures, visual problems, early onset of puberty, and behavioral problems.[1] Symptoms of pulmonary hamartoma may result from respiratory obstruction and include chronic cough, hemoptysis, or fever.[1] It is important to obtain the history about familial inheritance, as it provides insight into the associated conditions.
History
Obtaining the history is an important aspect of making the diagnosis of inherited hamartomatous syndromes. It provides insight into the cause, and associated conditions. Complete family history can help determine the prognosis. Specific histories about the associated symptoms should be obtained. Specific areas of focus when obtaining the history, are outlined below:
- Family history for other inherited hamartomatous syndromes
- Familial juvenile polyposis syndrome
- Cowden's syndrome
- Bannayan-Ruvalcaba-Riley syndrome
- Peutz-Jeghers syndrome
- Basal cell nevus syndrome
- Neurofibromatosis 1
- Multiple endocrine neoplasia syndrome 2B
Symptoms
- Hamartomas are most often asymptomatic.
- Gelastic seizures have a typically of short duration (2-30 seconds) and are characterized by uncontrollable laughter, without impairment of consciousness, where as frontotemporal gelastic seizure are usually longer lasting and can result in loss of consciousness. Very rarely children with hypothalamic hamartomas can enter into status gelasticus.[1]
- Visual deficit
- Early onset of puberty
- Behavioural changes
- Respiratory obstruction
- Chronic cough
- Hemoptysis
- Fever
- Chest pain
- Palpitations
- Dyspnea on exertion[2]
- Shortness of breath
Kidney, Spleen, and other Vascular Organs
- Flank pain
- Abdominal pain
- Growth retardation
- Recurerent infections
- Fever
- Night sweats[3]
References
- ↑ 1.0 1.1 1.2 Hypothalamic hamartoma. Dr Donna D'Souza et al. Radiopedia.http://radiopaedia.org/articles/pulmonary-hamartoma-1 Accessed on December 09, 2015
- ↑ Raffa GM, Malvindi PG, Settepani F, Melotti F, Monti L, Spaggiari P, Basciu A, Cappai A, Citterio E, Tarelli G (2013). "Hamartoma of mature cardiac myocytes in adults and young: case report and literature review". Int. J. Cardiol. 163 (2): e28–30. doi:10.1016/j.ijcard.2012.08.052. PMID 23041004.
- ↑ Colović N, Cemerikić V, Colović R, Zogović S, Stojković M (2000). "[Hamartoma of the spleen]". Srp Arh Celok Lek. 128 (9–10): 331–4. PMID 11255688.