Radin D R
Department of Radiology, LA County-USC Medical Center 90033-1084.
Abdom Imaging. 1994 Mar-Apr;19(2):140-2. doi: 10.1007/BF00203488.
A young man with hereditary juvenile polyposis, a duodenal adenoma with carcinoma in situ, and multiple arteriovenous malformations of the lungs and liver is reported. Because of the risk of malignancy, it is suggested that patients with juvenile polyposis have endoscopic or radiographic surveillance of the upper gastrointestinal tract in addition to either prophylactic colectomy or regular colonoscopic surveillance with polypectomy. In view of the serious potential complications of associated pulmonary, cerebral, and hepatic arteriovenous malformations, screening of patients with juvenile polyposis with chest radiography, magnetic resonance imaging of the brain, and sonography of the liver may be warranted.
报道了一名患有遗传性青少年息肉病、原位癌十二指肠腺瘤以及肺部和肝脏多发动静脉畸形的年轻男性。鉴于存在恶性肿瘤风险，建议青少年息肉病患者除了进行预防性结肠切除术或定期结肠镜检查及息肉切除外，还应对上消化道进行内镜或影像学监测。鉴于相关肺部、脑部和肝脏动静脉畸形存在严重的潜在并发症，对青少年息肉病患者进行胸部X线摄影、脑部磁共振成像以及肝脏超声检查筛查可能是必要的。
