Weisgerber G, Sonsino E, Martin T, Hardouin J P, Boureau M
Chir Pediatr. 1980;21(4):269-73.
Hamartomatos inverted polyps of the rectum were observed in a 12 years-old boy suffering from recurrent rectal discharges of mucus. Diagnosis was made on examination of rectal specimens obtained by local excisions and finally by recto-sigmoïdectomy, showing ectopic lobulated glandular structures deep to the muscularis mucosae. This histological aspect must be differentiated from adenocarcinoma, but in the paediatric age, prognosis depends on the degree of diffusion of the hamartomatous tissue, which may lead to extensive surgery such as recto-sigmoïdectomy. Whether this lesion is dysgenetic or acquired is discussed, and what relation can be presumed with solitary ulcer of the rectum is not clear.
在一名12岁反复出现直肠黏液排出的男孩中观察到直肠错构瘤性内翻息肉。通过局部切除获得的直肠标本检查，最终通过直肠乙状结肠切除术进行诊断，显示黏膜肌层深处有异位分叶状腺结构。这种组织学表现必须与腺癌相鉴别，但在儿童期，预后取决于错构瘤组织的扩散程度，这可能导致如直肠乙状结肠切除术等广泛的手术。讨论了这种病变是发育异常还是后天获得性的，并且与直肠孤立性溃疡可能存在何种关系尚不清楚。
