Cowden syndrome surgery: Difference between revisions
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*[[Surgery]] is not the first-line treatment option for [[patients]] with [[cowden syndrome]]. [[Surgery]] is usually reserved for patients with the following: | *[[Surgery]] is not the first-line treatment option for [[patients]] with [[cowden syndrome]]. [[Surgery]] is usually reserved for patients with the following: | ||
* '''[[Dysplasia|Dysplastic]] [[Gangliocytoma]]''' | * '''[[Dysplasia|Dysplastic]] [[Gangliocytoma]]:''' | ||
** Keeping in mind about the potential effects of [[hydrocephalus]] like fatal [[herniation]], resection of dysplastic gangliocytoma of the cerebellum should be considered. | ** Keeping in mind about the potential effects of [[hydrocephalus]] like fatal [[herniation]], [[resection]] of [[Dysplasia|dysplastic]] [[gangliocytoma]] of the [[cerebellum]] should be considered. | ||
* '''[[Gastrointestinal]] [[polyps]]''' | * '''[[Gastrointestinal]] [[polyps]]:''' | ||
** Patients with [[cowden syndrome]] should consider resection of gastrointestinal polyps endoscopically which includes adenomatous polyps which are risk for developing colon cancer. | ** Patients with [[cowden syndrome]] should consider resection of [[gastrointestinal]] [[polyps]] [[Endoscopic|endoscopically]] which includes [[adenomatous polyps]] which are risk for developing [[colon cancer]]. | ||
** Endoscopic techniques like narrow band imaging should be considered for removing large polyps (≥1 cm). | ** [[Endoscopic]] techniques like narrow band imaging should be considered for removing large [[polyps]] (≥1 cm). | ||
Facial [[papules]]: | |||
*Chemical peels | * '''Facial [[papules]]:''' | ||
* Laser resurfacing | ** Chemical peels | ||
** [[Laser]] resurfacing | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 14:49, 19 March 2019
Cowden syndrome Microchapters |
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Risk calculators and risk factors for Cowden syndrome surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vamsikrishna Gunnam M.B.B.S [2]
Overview
Surgery is not the first-line treatment option for patients with cowden syndrome. Surgery is usually reserved for patients with facial papules.
Indications
- Surgery is not the first-line treatment option for patients with cowden syndrome. Surgery is usually reserved for patients with the following:
- Dysplastic Gangliocytoma:
- Keeping in mind about the potential effects of hydrocephalus like fatal herniation, resection of dysplastic gangliocytoma of the cerebellum should be considered.
- Gastrointestinal polyps:
- Patients with cowden syndrome should consider resection of gastrointestinal polyps endoscopically which includes adenomatous polyps which are risk for developing colon cancer.
- Endoscopic techniques like narrow band imaging should be considered for removing large polyps (≥1 cm).