Question 20
22 year old male comes to the clinic with complaints of swelling on his back. He says the swelling is cosmetically ugly. It is non tender and has not changed since few years. He also complains of some swelling on his scalp. Occasionally, he has pain in his abdomen, and passes black stools often. Rectal examination is non contributory. Stool shows altered blood. The physician schedules him for a colonoscopy. He is an adopted child of his parents, and does not know anything about his biological parents. On colonoscopy, the physician notes several polyp. What is the most likely diagnosis.
A) Gardener's Syndrome
B) Turcot's Syndrome
C) Diverticulosis
D) HNPCC
E) Colon Ca
F) Angiodysplasia
Answer will be posted in the comments section soon.
3 comments:
turcot's??
i think the answer might be HNPCC because pt is under 50 y/o and not something like gardeners or turcots because both are AD and we dont have any family history.
usmlechallenger please tell us the answer!
Gardner syndrome fits this presentation with the presence of multiple polyps in the colon together with tumors outside the colon. The extracolonic tumors may include osteomas of the skull, thyroid cancer, EPIDERMOID cysts, fibromas and sebaceous cysts.
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