Beacham C H, Shields H M, Raffensperger E C, Enterline H T
Am J Dig Dis. 1978 Dec;23(12):1137-43. doi: 10.1007/BF01072892.
This is the fourth report of a case showing an association between juvenile and adenomatous polyposis. Starting at age 14, this patient underwent multiple polypectomies and gastrointestinal resections over a 15-year period. Although initial biopsies were diagnosed as juvenile polyps, later biopsies showed both adenomatous polyps and large polypoid masses with a mixture of juvenile and adenomatous features. Several typical small hyperplastic polyps were also found in the stomach. This case contrasts with the previous three cases in that the gastrointestinal tract is more widely involved and in that there is an unusual marked hyperplasia of argentaffin- and argyrophil-positive cells. The case reported here strengthens the relation between adenomatous polyposis and juvenile polyposis.
这是第四例显示青少年息肉病与腺瘤性息肉病之间关联的病例报告。该患者从14岁开始，在15年期间接受了多次息肉切除术和胃肠道切除术。尽管最初的活检诊断为青少年息肉，但后来的活检显示既有腺瘤性息肉，也有兼具青少年和腺瘤特征的大的息肉样肿物。在胃中还发现了几个典型的小增生性息肉。该病例与前三例不同之处在于胃肠道受累范围更广，且嗜银和嗜银阳性细胞有异常明显的增生。此处报告的病例强化了腺瘤性息肉病与青少年息肉病之间的关系。
