Peutz-Jeghers syndrome (PJS) is an unusual polyposis syndrome that has enjo
yed a rich and somewhat confusing history. Mucocutaneous pigmentation and d
iffuse gastrointestinal hamartomas are the hallmark features of this autoso
mal dominant inherited condition. Peutz-Jeghers syndrome is now also recogn
ized as a cancer predisposition syndrome. in this review, we highlight the
historical aspects of PJS polyposis with special emphasis on its extraintes
tinal manifestations, particularly genital tract tumors. A PJS management s
cheme for clinicians is included. (Am J Gastroenterol 2000,95:596-604. (C)
2000 by Am. Coll. of Gastroenterology).