Friday, January 8, 2010

Peutz-Jeghers Syndrome News


Peutz-Jeghers Syndrome News
January 2010

These resources are especially for those interested in PJS, their friends, families and health professionals. Please share this with any and all. Please contact me for copies of PJS screening guidelines from several sources. A list of Online Support Groups for people interested in inherited cancer syndromes is at bottom of this email.

Warmest healing wishes,
Stephanie Sugars

* Save the date - June 26, 2010 PJS Meet & Greet in Northern California. Details to follow.

* Updated & revised listserv for people with PJS and JPS (juvenile polyposis syndrome). The affected, family, friends, medical professionals and researchers are welcome to join the free online support group If email volume is a problem, join digest mode for one daily email. Or go nomail to search the archives as needed. If you'd like to join & need help, please write to

* New screening guidelines for PJS and Juvenile Polyposis Syndrome from National Comprehensive Cancer Network at (free registration required). These are different and more up-to-date than the attached guidelines.
Also available at http://img.medscape .com/pi/editoria l/articlecme/ 2009/712885/ Colorectal_ Cancer_Screenin_ g_V.1.2010_ Medscape. pdf

* Trouble with bowel preps - Fleet Phospho-Soda and the pill preps (Visicol and Osmoprep) have caused harm to patients - read more about FDA warning at

* PJS in the news. This story is about mice, not people. And no, these drugs aren't currently available to PJS human patients, though there is a small trial of them in Utah & Hawaii (see below). And the suggested FDG-PET scans for screening have several drawbacks including accuracy, expense & radiation exposure. Still, it's interesting that mouse PJS polyps show increased glucose metabolism. The PJS gene LKB1 affects both metabolism and cancer risk.

* Psychosocial impact of Peutz-Jeghers Syndrome - free full text report

* PJS people - photos, locations and comments, add yourself at

* Genetic mosaicism has now been described in PJS people. This is something patients and family members should discuss with genetic counselors…but they don't have the information yet. Let me know if you'd like a copy of my report.

* A 50+ page report from Mayo Clinic on PJS, appropriate for patients, family, doctors and genetic counselors at∂=ch1famcan or at

* Peutz-Jeghers Syndrome and Management Recommendations - article from Johns Hopkins includes suggested screening for PJS people & at-risk family members. Click on full-text pdf for free full text.

* Medscape article on PJS & similar polyposis syndromes

* eMedicine article on PJS

* Frequency and Spectrum of Cancers in the Peutz-Jeghers Syndrome Click on full-text pdf for free full text.

* The Genetest PJS entry is good to share with medical professionals. Also includes genetic testing laboratories.

* The new genetic test method, MLPA, has increased the accuracy of genetic testing. Those with previously negative or inconclusive test results may wish to be retested. Labs are listed at

* Learn more about video capsule endoscopy or the PillCam for small bowel imaging at

* Learn more about double balloon enteroscopy, a new surgical method and get referrals to doctors who use it at This method allows the entire small bowel to be scoped and replaces major and endoscopic surgery in some PJS patients.

* Olympus has developed a similar method called single balloon enteroscopy.

* There is a third type of enteroscopy called spiral enteroscopy that has been used in PJS patients.

* There's a very small chemoprevention clinical trial for PJS people. Participants must live in Utah or Hawaii. This trial uses the rapamycin analogue RAD001 to target mTOR, a downstream target of the PJS gene LKB1. Link to trial information

* Genetic testing is available (no travel necessary) through Professor Rodney Scott, Division of Genetics, Hunter Area Pathology Services, John Hunter Hospital, Lookout Road, New Lambton, NSW 2305 Australia. Check with Dr. Scott for cost

* A Funny Polyp Study for those with unexplained polyposis. Please have your medical care professional contact them for more information

* In the USA there is an ongoing pancreatic cancer screening study called CAPS3 for PJS people. Five different centers offer free testing: Johns Hopkins in Baltimore, MD; Dana Farber in Boston; UCLA in Los Angeles, CA; MD Anderson in Houston, TX; and Mayo Clinic in Rochester, MN

* Johns Hopkins in Baltimore, MD also has another pancreatic cancer screening study called CAPS4 that is open to PJS participants

* H. Lee Moffitt Cancer Center in Tampa Florida also has a pancreatic cancer screening study Here's an article by the study's principle investigator, Dr. Klapman

* Dr. Stratakis continues to study PJS patients in Bethesda, MD, USA

* European laboratories, research studies and information

* For more resources, go to

* There are many new articles on PJS and the PJS gene LKB1 or STK11 available at

* Many free, full-text, old articles on PJS are available at



PJS & Juvenile Polyposis

Sindrome de Peutz-Jeghers en Espanol

Peutz-Jeghers syndrome in China

HNPCC, Lynch syndrome

FAP/Gardner syndrome



Colon Cancer


Stephanie Sugars

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