Mills S E, Fechner R E
Am J Surg Pathol. 1982 Mar;6(2):177-83. doi: 10.1097/00000478-198203000-00011.
A 14-year-old boy had an ileocolectomy for juvenile polyposis coli. Twenty-five years later he developed peculiar adenomatous polyps in his rectum. The polyps had irregularly shaped glands lined by cells with stratified, atypical nuclei. Some glands were distended with mucus, but otherwise the polyps did not resemble juvenile polyps. Two other types of polyps associated with juvenile polyposis coli and often designated as adenomatous polyps are illustrated. A solitary juvenile polyp with foci of hyperplastic and adenomatous change is also depicted, and the association of juvenile polyps with colonic neoplasia is reviewed.
一名14岁男孩因幼年性结肠息肉病接受了回肠结肠切除术。25年后，他的直肠出现了特殊的腺瘤性息肉。这些息肉有形状不规则的腺体，内衬细胞有分层的非典型细胞核。一些腺体充满黏液，但除此之外，这些息肉与幼年性息肉不同。文中还展示了另外两种与幼年性结肠息肉病相关且常被称为腺瘤性息肉的息肉类型。还描绘了一个具有增生性和腺瘤性改变灶的孤立幼年性息肉，并对幼年性息肉与结肠肿瘤的关联进行了综述。
