MULTIDISCIPLINARY MANAGEMENT ON PEUTZ-JEGHERS SYNDROME SUSPICION: A CASE REPORT

ABSTRACT

A 15-year-old woman presented with maxillary odontogenic pain. Extraorally multiple bluish and dark brown mucocutaneous maculae in periocular, perinasal, perioral skin, and in fingers of both hands. Intraorally multiple dark brown maculae in gingival, palatine, labial, and bilateral buccal mucosa. She referred occasional abdominal pain. Patient was referred to oral and maxillofacial pathology because Peutz-Jeghers syndrome was suspected. She was also evaluated by pediatric, clinical genetics, and gastroenterology. Genetic-molecular tests, abdominal and pelvic ultrasound, endoscopy, and colonoscopy were requested. A nonspecific growth was detected in the left ovary, so the patient was referred to gynecology. The case is currently being followed, but due to the COVID-19 pandemic, not all complementary tests have been performed. Diagnosis and management of Peutz-Jeghers syndrome must be multidisciplinary by the presence of gastrointestinal polyps and higher risk for developing cancer. Dental surgeons are in a favorable position to make the initial suspicion of the disease.