[Adenomatous degeneration in a prepuberal patient with generalized juvenile polyposis and angiomas of the oral mucosa].
The authors present a 12 year old patient affected by a juvenile polyposis syndrome. They describe the clinic and the complementary tests carried out, especially the findings of the digestive fibroendoscopy which allowed multiple polyps in the duodenum, colon and rectum to be shown, confirmed by an anatomopathological study. Two years afterwards, a total colectomy and ileoproctostomy was carried out. In the operative piece included numerous hamartomatous polyps with adenomatous isolated foci. A subsequent endoscopic exploration showed numerous polyps in anus and rectal stump. The adenomatous transformation and recidivation of her polyposis require close vigilance and a follow-up of this female patient in view of the possibility of the precocious development of a colorectal carcinoma.
Lostal Gracia
I
I
Departamento de Pediatría, Hospital Clínico Universitario, Zaragoza.
Fleta Zaragozano
J
J
Sarriá Chueca
A
A
Domínguez Cunchillos
M
M
Tejedo Grafia
V
V
Ortego Fernández de Retama
J
J
Soria Navarro
J
J
Suárez Alzamora
M
M
Bueno Sánchez
M
M
D000236:Adenoma / Q000473:pathology; D011125:Adenomatous Polyposis Coli / Q000235:genetics* / Q000473:pathology / Q000601:surgery; D000367:Age Factors; D002471:Cell Transformation, Neoplastic / Q000473:pathology; D002648:Child; D019723:Endoscopes; D005260:Female; D005336:Fiber Optic Technology; D006391:Hemangioma / Q000473:pathology; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D007414:Intestinal Neoplasms / Q000473:pathology*; D009061:Mouth Mucosa / Q000098:blood supply / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery; D011379:Prognosis
Degeneración adenomatosa en una paciente prepuberal afecta de poliposis juvenil generalizada y angiomas en mucosa oral.