胃窦部巨大广泛性孤立性黑斑息肉综合征型息肉：病例报告
A giant and extensive solitary Peutz-Jeghers-type polyp in the antrum of stomach: Case report.
作者信息
Zou Bai-Cang, Wang Feng-Fan, Zhao Gang, Lu Xiao-Lan, Zhang Li, Zhao Ping, Shi Hai-Tao, Qin Bin, Guo Xiao-Dan, Zhang Jing
机构信息
Department of Gastroenterology, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China Department of Gastroenterology, Xi'an Children's Hospital, Xi'an, Shaanxi, China.
出版信息
Medicine (Baltimore). 2017 Dec;96(49):e8466. doi: 10.1097/MD.0000000000008466.
RATIONALE
A solitary Peutz-Jeghers-type polyp is a hamartomatous polyp which without either mucocutaneous pigmentation or a family history of Peutz-Jeghers syndrome (PJS). It can occur in all of the gastrointestinal tract, but it is extremely rare in the stomach.
PATIENT CONCERNS
A 53-year-old man was admitted to the local hospital with left upper abdominal pain lasting 2 weeks. A gastroscopy showed a giant and extensive bulging lesion on the greater curvature and posterior and anterior walls of the gastric antrum, involving three-quarters of the gastric wall. Endoscopic ultrasonography showed a muscularis mucosa lesion.
DIAGNOSES
A solitary Peutz-Jeghers-type polyp in the antrum of stomach.
INTERVENTIONS
The patient underwent an endoscopic submucosal dissection (ESD).
OUTCOMES
The patient recovered quickly, without any complications.
LESSONS
This is the second largest gastric solitary Peutz-Jeghers-polyp reported until now, and the largest gastric solitary Peutz-Jeghers type-polyp treated by endoscope.
理论依据
孤立性黑斑息肉病样息肉是一种错构瘤性息肉，既无黏膜皮肤色素沉着，也无黑斑息肉病（PJS）家族史。它可发生于整个胃肠道，但在胃中极为罕见。
患者情况
一名53岁男性因左上腹疼痛持续2周入住当地医院。胃镜检查显示胃窦大弯侧及前后壁有巨大且广泛的隆起性病变，累及胃壁的四分之三。内镜超声检查显示黏膜肌层病变。
诊断
胃窦部孤立性黑斑息肉病样息肉。
干预措施
患者接受了内镜黏膜下剥离术（ESD）。
结果
患者恢复迅速，无任何并发症。
经验教训
这是迄今为止报道的第二大胃孤立性黑斑息肉，也是通过内镜治疗的最大的胃孤立性黑斑息肉病样息肉。
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