Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC.
Med Princ Pract. 2014;23(1):89-91. doi: 10.1159/000351885. Epub 2013 Sep 3.
To report a case of rectal cancer in a patient with Peutz-Jeghers syndrome (PJS).
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.
This case showed that rectal carcinoma should be considered for young patients with PJS.
报告一例患有 Peutz-Jeghers 综合征（PJS）的直肠癌患者。
一名 20 岁女性，间歇性便血 4 个月，入院检查。胃肠镜检查显示胃、小肠、结肠多发息肉，直肠腺癌。根据肠息肉的特征性病理和唇上的黑色素斑，诊断为 PJS。随访 8 个月时，患者行手术及化疗，未见复发迹象。
本病例提示，对于年轻的 PJS 患者，应考虑直肠癌的可能。
