Cowden syndrome surgery: Difference between revisions

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** 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 dysplastic gangliocytoma of the cerebellum should be considered.
* '''[[Gastrointestinal]] [[polyps]]'''
* '''[[Gastrointestinal]] [[polyps]]'''
** Patients with cowden syndrome should consider endoscoplical;l 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).
Facial [[papules]]:
Facial [[papules]]:
*Chemical peels  
*Chemical peels  

Revision as of 14:45, 19 March 2019

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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

  • 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).

Facial papules:

  • Chemical peels
  • Laser resurfacing

References

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