Question
An 18-year-old woman was diagnosed 7 years earlier with precocious pseudopuberty secondary to an ovarian tumor. Physical examination reveals oral and lingual dark pigmentation. Which of the following is the most likely diagnosis?
| A. |
Peutz-Jeghers syndrome
|
| B. |
Gardner’s syndrome
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| C. |
Lynch syndrome
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| D. |
juvenile polyposis
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Show Answer
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Correct Answer � A
Explanation
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|
Ans. A
Intestinal polyposis is a possible indication of Peutz-Jeghers syndrome associated with dark brown spots on the lips and palate. There is a characteristic distribution of pigment around lips, nose, eyes, and hands. Tumors of the ovary, breast, pancreas, and endometrium are associated with this syndrome.
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