Alese O B, Irabor D O
Division of Gastrointestinal Surgery, Department of Surgery, University College Hospital, Ibadan, Nigeria.
Ghana Med J. 2009 Sep;43(3):139-41. doi: 10.4314/gmj.v43i3.55341.
Colorectal cancer is reported to occur in lower rates in Africans and some of the reasons adduced include a rarity of polyposis coli syndromes. Only two cases of polyposis coli have been documented in Nigeria in the last 15 years. The present case is an elderly lady who had radiologic and colonoscopic evidence of multiple colonic polyps. She had a colonic resection and the histology was reported as multiple polyposis coli, follicular hyperplasia and submucosal fibrosis in the appendix, and reactive hyperplasia in the mesenteric lymph nodes. There was no evidence of malignancy. This is the first case report of polyposis coli in a living elderly patient in Nigeria.
据报道,非洲人的结直肠癌发病率较低,其原因包括息肉病综合征罕见。在过去15年中,尼日利亚仅记录到两例息肉病综合征病例。本病例是一位老年女性,有影像学和结肠镜检查证据显示存在多个结肠息肉。她接受了结肠切除术,组织学报告显示为多个息肉病综合征、阑尾滤泡增生和黏膜下纤维化,以及肠系膜淋巴结反应性增生。没有恶性肿瘤的证据。这是尼日利亚首例关于在世老年患者息肉病综合征的病例报告。