10. Intestinal Tumors

Question 1

A 3 year old boy is brought to his PCP by his mother after she noticed bright red blood on toilet paper after he had a bowel movement. Lower endoscopy shows a polyp in the rectum. Biopsy reveals the polyp is hamartomatous. Where else might you find polyps if the child had juvenile polyposis? (MG)

A. Esophagus
B. Small intestine
C. Stomach
D. Skin
E. Pancreas

Answer 1

C. Stomach

Question 2

A 55 year old man has hundreds of polyps in his colon. Gene sequencing reveals a mutation of the APC gene. He starts experiencing neurological sx like headaches, head tilting, and difficulty walking. What polyposis syndrome does this man have? (MG)

A. Gardner Syndrome
B. Turcot Syndrome
C. Peutz-Jeghers Syndrome
D. Juvenile Polyposis Syndrome
E. Familial Adenomatous Polyposis

Answer 2

A. Gardner Syndrome

he has a medulloblastoma ontop of FAP/lynch syndrome

Gardner can also have glioma tumors.

CNS malignant tumors + FAP = Gardner’s