Summary
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.
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McColl I, Bussey JH, Veale AM, Morson BC: Juvenile polyposis coli. Proc R Soc Med 57:896–897, 1964
Horilleno EG, Eckert C, Ackerman LV: Polyps of the rectum and colon in children. Cancer 10:1210–1220, 1957
Morson BC, Dawson IMP: Gastrointestinal Pathology. London, Blackwell Scientific Publications, 1972
Stemper TJ, Kent TH, Summers RW: Juvenile polyposis and gastrointestinal carcinoma. A study of a kindred. Ann Intern Med 83:639–646, 1975
Smilow PC, Pryor CK, Swinton NW: Juvenile polyposis coli: A report of three patients in three generations of the family. Dis Col Rect 9:248–254, 1966
Sachatello CR, Pickren JW, Grace JT, Jr: Generalized juvenile gastrointestinal polyposis: A hereditary syndrome. Gastroenterology 58:699–707, 1970
Yonemoto, RH, Slayback JB, Byron RL, Jr, Rosen RB: Familial polyposis of the entire gastrointestinal tract. Arch Surg 99:427–434, 1969
Gardner EJ: Follow-up study of a family group exhibiting dominant inheritance for a syndrome including intestinal polyps, osteomas, fibromas, and epidermal cysts. Am J Hum Genet 14:375, 1962
Veale AM, McColl I, Bussey HJ, Morson BC: Juvenile polyposis coli. J Med Genet 3:5–16, 1966
Smith WG, Kern BB: The nature of the mutation in familial multiple polyposis: Papillary carcinoma of the thyroid, brain tumors, and familial multiple polyposis. Dis Col Rect 16:264–271, 1973
Haggitt RC, Pitcock JA: Familial juvenile polyposis of the colon. Cancer 26:1232–1238, 1970
Kaschula RO: Mixed juvenile, adenomatous and intermediate polyposis coli: Report of a case. Dis Col Rect 14:368–374, 1971
Barg J, Desvignes G, Maillard JN, Potet F: Polypose colique associant des aspects juveniles et adenomateux. Gastroenterol Clin Biol 1:159–164, 1977
Ammann RW, Deyhle P, Sulser H: Familial ‘minor’ adenomatous polyposis coli associated with gastric carcinoma—a hitherto underscribed phenotype of polyposis coli? Scand J Gastroenterol 11:233–240, 1976
Halstead JA, Harris EJ, Bartlett MK: Involvement of the stomach in a familial polyposis of the gastrointestinal tract. Gastroenterology 15:763–770, 1950
Ushio K, Sasagawa M, Doi H, Yamada T, Ichikawa H, Hojo K, Koyama Y, Sano R: Lesions associated with familial polyposis coli: Studies of lesions of the stomach, duodenum, bones and teeth. Gastrointest Radiol 1:67–80, 1976
Utsunomiya J, Maki T, Iwama T, Matsunaga Y, Ichikawa T, Shimomura T, Hamaguchi E, Aoki N: Gastric lesions of familial polyposis coli. Cancer 34:745–754, 1974
Hoffmann DC, Goligher JC: Polyposis of the stomach and small intestine in association with familial polyposis coli. Br J Surg 58:126–128, 1971
Ohsato L, Watanabe H, Itoh H, Yao T, Nishimura M: Simultaneous occurrence of multiple gastric carcinomas and familial polyposis of the colon. Jpn J Surg 4:165–174, 1974
Watanabe H, Enjoji M, Yao T, Ohsato K: Gastric lesions in familial adenomatosis coli. Hum Pathol 9:269–283, 1978
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Beacham, C.H., Shields, H.M., Raffensperger, E.C. et al. Juvenile and adenomatous gastrointestinal polyposis. Digest Dis Sci 23, 1137–1143 (1978). https://doi.org/10.1007/BF01072892
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DOI: https://doi.org/10.1007/BF01072892