Whittle D O, Lee M G, Hanchard B
Department of Medicine, The University of the West Indies, Kingston 7, Jamaica, West Indies.
West Indian Med J. 2010 Jun;59(3):306-8.
Juvenile polyposis syndrome (JPS) is rare and is present when there are multiple juvenile polyps in the gastrointestinal tract, usually the colon. The importance of this condition is the association with the development of colorectal and upper gastrointestinal cancer at a young age. We report the case of a 21-year old male with a two-year history of intermittent rectal bleeding and anal protrusion. Colonoscopy revealed multiple pedunculated cherry red polyps mainly in the left colon. Histology confirmed juvenile polyps. Juvenile polyposis syndrome should be considered in young patients with colonic symptoms, especially rectal bleeding. It is important to distinguish between patients with JPS and patients with an isolated harmatomatous juvenile polyp.
青少年息肉病综合征（JPS）较为罕见，当胃肠道（通常是结肠）出现多个青少年息肉时即为此病。该病症的重要性在于与年轻时发生结直肠癌和上消化道癌有关。我们报告一例21岁男性病例，有两年间歇性直肠出血和肛门肿物脱出病史。结肠镜检查发现多个带蒂的樱桃红色息肉，主要位于左半结肠。组织学检查确诊为青少年息肉。对于有结肠症状尤其是直肠出血的年轻患者，应考虑青少年息肉病综合征。区分青少年息肉病综合征患者和孤立性错构瘤性青少年息肉患者很重要。
