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Turcot-Despres syndrome (mismatch repair cancer syndrome, MMRCS, brain tumor-polyposis syndrome 1)
Genetics:
- autosomal dominant
- associated with mutations in adenomatous polyposis coli (APC) gene or in the mismatch repair genes MLH1 or PMS2
Clinical manifestations:
- malignant tumors of the brain (gliomas) associated with multiple colorectal adenomas
- skin features include sebaceous cysts, hyperpigmentation & cafe au lait spots
Complications:
- risk of colon cancer not known
Management:
- no screening for colon cancer recommended
Specific
Turcot syndrome/APC mutation
Turcot syndrome/MLH1 mutation
Turcot syndrome/PMS2 mutation
General
hereditary colon cancer syndrome
intestinal polyposis syndrome
Properties
ASSOCIATED-NEOPLASM[S]: polyp
:SITE colon
adenocarcinoma of the colon
gastric cancer
glioblastoma multiforme
astrocytoma
ependymoma
medulloblastoma
leukemia
papillary thyroid carcinoma
lipoma
basal cell carcinoma
Database Correlations
OMIM 276300
References
- Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed)
Lippincott-Raven, Philadelphia, 1998, pg 309
- Medical Knowledge Self Assessment Program (MKSAP) 11.
American College of Physicians, Philadelphia 1998
- Harrison's Principles of Internal Medicine, 14th ed.
Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 573