Ferran J L, Allien E, Broche M, Senac J P, Blum M
J Radiol Electrol Med Nucl. 1979 Jan;60(1):17-21.
The discovery of multiple polypi in a small child does not necessarily indicate that this is a case of familial adenomatosis. Two cases of juvenile polyposis were confirmed by histological examinations, and their clinical and, more particularly, their radiological characteristics were studied. The only way to explore the full extent of the lesions in a satisfactory manner is by double-contrast examination of the whole colon. The authors stress the value of radiological examinations, though the frequency with which they should be carried out is open to discussion. Review of the published literature reveals that the association of true familial polyposis or adenocarcinomatosis exists in the same family or even in the same patient. Diagnostic difficulties are usually due to the fortuitons co-existence of a lymphoid hyperplasia, the significance of which is still not known.
在幼儿中发现多个息肉并不一定意味着这是家族性腺瘤病的病例。通过组织学检查确诊了两例青少年息肉病病例,并对其临床,尤其是放射学特征进行了研究。以令人满意的方式全面探查病变范围的唯一方法是对整个结肠进行双重对比检查。作者强调了放射学检查的价值,尽管其应进行的频率仍有待讨论。对已发表文献的回顾显示,真正的家族性息肉病或腺癌病在同一家族甚至同一患者中都有存在。诊断困难通常是由于偶然并存的淋巴组织增生,其意义尚不清楚。