Matsui Saori, Kibi Megumi, Anami Emi, Anami Takahiro, Inagaki Yasukazu, Kanouda Atsushi, Yoshinaga Hiroshi, Watanabe Akihiko, Sugahara Atsushi, Mukai Hidekazu, Toyokawa Akihiro, Iwasaki Takeshi, Tachibana Mayumi, Teramura Kazuhiro
Department of Gastroenterology, Yodogawa Christian Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2011 May;108(5):778-86.
A 60-year-old man presented with diarrhea and weight loss. Colonoscopy revealed multiple reddish polypoid lesions throughout the gastrointestinal tract and was diagnosed as Cronkhite-Canada syndrome (CCS). Prednisolone therapy caused regression of polyps. Some of them were suspected to be early colon cancers and adenomas. We endoscopically performed mucosal resection for 15 polyps after prednisolone therapy. Histological examination of one of polyps showed invasion of the submucosal layer and colon resection was performed. This case suggests that diagnosis and treatment are important in polyps of CCS.
一名60岁男性出现腹泻和体重减轻。结肠镜检查发现整个胃肠道有多个红色息肉样病变,被诊断为克朗凯特-加拿大综合征(CCS)。泼尼松龙治疗使息肉消退。其中一些息肉怀疑是早期结肠癌和腺瘤。在泼尼松龙治疗后,我们通过内镜对15个息肉进行了黏膜切除术。对其中一个息肉的组织学检查显示有黏膜下层浸润,遂进行了结肠切除术。该病例表明,对CCS息肉的诊断和治疗很重要。