Colonic Ganglioneuroma: A Rare Incidental Finding.

Kans J Med

Kansas Gastroenterology, Wichita, KS.

Published: April 2023

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10136615PMC
http://dx.doi.org/10.17161/kjm.vol16.18859DOI Listing

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Article Synopsis
  • Multiple endocrine neoplasia type 2B (MEN 2B) is a hereditary cancer syndrome involving medullary thyroid carcinoma, pheochromocytoma, parathyroid adenomas, ganglioneuromas, and musculoskeletal issues.
  • A 31-year-old male with MEN 2B presented with ganglioneuromas in his colon and elevated normetanephrine levels, which help diagnose pheochromocytoma.
  • He underwent partial thyroid surgery for a goiter and was admitted to Gastroenterology for further evaluation of his condition.
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Multiple endocrine neoplasia type 2B diagnosed after small intestinal volvulus with progressive megacolon in an adolescent.

Clin J Gastroenterol

August 2024

Department of Pediatric Surgery, Reproductive and Developmental Medicine, Faculty of Medical Sciences, Kyushu University, Fukuoka, Japan.

Multiple endocrine neoplasia type 2B is a rare autosomal dominant disease characterized by the presence of medullary thyroid carcinoma, pheochromocytoma, Marfan-like fatigue, a peculiar face with thickening of the lips, mucosal neuromas on the lips and tongue, and gastrointestinal phenomena. Most patients harbor pathological variants of the RET gene. Herein, we present the first case of a 14 year-old boy who experienced small intestinal volvulus along with a megacolon, and he was diagnosed with multiple endocrine neoplasia type 2B.

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Background: PTEN hamartoma syndrome (PHTS) is an autosomal dominant disorder characterized by pathogenic variants in the tumor suppressor gene phosphatase and tensin homolog (PTEN). It is associated with an increased risk of muco-cutaneous features, hamartomatous tumors, and cancers. Mosaicism has been found in a few cases of patients with de novo PHTS, identified from blood samples.

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Ganglioneuromas (GNs) are rare, benign tumors composed of ganglion cells, nerve fibers, and glial cells. Three types of colonic GN lesions exist: polypoid GNs, ganglioneuromatous polyposis, and diffuse ganglioneuromatosis. Less than 100 cases of GN are documented in the literature.

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