Rectal Carcinoma in a Young Female Patient with Peutz-Jeghers Syndrome: A Case Report

Rectal Carcinoma in a Young Female Patient with Peutz-Jeghers Syndrome: A Case Report
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DOI:
10.1159/000351885
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发表时间:
2014-01-01
影响因子:
3.2
通讯作者:
Wang, Jaw-Yuan
Wang, Jaw-Yuan
中科院分区:
医学4区
文献类型:
--
作者:
Tsai, Hsiang-Lin;Lin, Chih-Hung;Wang, Jaw-Yuan

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目的:报道1例Peutz-Jeghers综合征(PJS)合并直肠癌的病例。临床表现与干预:1例20岁女性,间歇性便血4个月,入院检查。胃镜检查发现多发性息肉累及胃、小肠、结肠和直肠腺癌。PJS的诊断是基于具有特征性病理特征的肠道息肉和嘴唇上的黑斑。术后8个月随访,手术和化疗后,患者没有任何复发迹象。结论:本病例提示青年PJS患者应考虑直肠癌。(C)2013年S.Karger AG,巴塞尔
Objective: To report a case of rectal cancer in a patient with Peutz-Jeghers syndrome (PJS). Clinical Presentation and Intervention: A 20-year-old woman with intermittent bloody stool of 4 months was admitted for examination. Gastroendoscopy revealed multiple polyps involving the stomach, small intestine, colon and a rectal adenocarcinoma. A diagnosis of PJS was made based on intestinal polyps with characteristic pathology and melanotic macules on the lips. After surgery and chemotherapy upon follow-up at 8 months, the patient did not have any signs of recurrence. Conclusion: This case showed that rectal carcinoma should be considered for young patients with PJS. (C) 2013 S. Karger AG, Basel