title: Bannayan-Riley-Ruvalcaba syndrome: spectrum of intestinal pathology including juvenile polyps.
abstract: Bannayan-Riley-Ruvalcaba syndrome (BRRS) is a disorder that includes juvenile polyposis as part of its pathologic spectrum, and it recently has been shown to share phenotypic and genotypic features with Cowden's disease. In existing literature, descriptions of intestinal pathology in patients with BRRS are relatively sparse and occasionally erroneous. We describe the intestinal pathology in multiple specimens from three children with BRRS. Examination of gastrointestinal biopsies from these children revealed predominantly colonic and rectal polyps with the histology of juvenile polyps. Additionally, two cases with clusters of ectopic ganglion cells within the lamina propria, one in a colonic polyp and one in a duodenal biopsy, and an atypical polyp were observed. Bannayan-Riley-Ruvalcaba syndrome should be included in the list of differential diagnostic considerations when a child or young adult presents with a juvenile polyp, particularly if unusual histologic features such as atypical polyps or ectopic ganglion cells are encountered.
authors.affiliation: Division of Pediatric Pathology, University of Utah School of Medicine and Primary Children's Medical Center, Department of Pathology, 100 North Medical Drive, Salt Lake City, UT 84113, USA.
authors.forename: A
authors.initials: A
authors.lastname: Lowichik
authors.forename: F V
authors.initials: FV
authors.lastname: White
authors.forename: C F
authors.initials: CF
authors.lastname: Timmons
authors.forename: A G
authors.initials: AG
authors.lastname: Weinberg
authors.forename: T S
authors.initials: TS
authors.lastname: Gunasekaran
authors.forename: K
authors.initials: K
authors.lastname: Nathan
authors.forename: C M
authors.initials: CM
authors.lastname: Coffin
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000473:pathology*; D002828:Choristoma; D003937:Diagnosis, Differential; D005260:Female; D005724:Ganglia; D006223:Hamartoma Syndrome, Multiple / Q000473:pathology*; D006801:Humans; D007223:Infant; D007410:Intestinal Diseases / Q000473:pathology; D007414:Intestinal Neoplasms / Q000473:pathology*; D008297:Male; D013577:Syndrome