Skip to main content

Advertisement

Log in

Malignant potential of juvenile polyposis coli

Report of a case and review of the literature

  • Case Reports
  • Published:
Diseases of the Colon & Rectum

Abstract

Juvenile polyps of the colon and rectum traditionally have been viewed as being benign inflammatory or harmartomatous lesions without potential for malignant change. The authors report a case of adenocarcinoma developing in a patient with sporadic juvenile polyposis. Juvenile polyposis was diagnosed in the patient at age 4 years. He underwent subtotal colectomy at age 6 years. At age 12, he underwent a proctectomy and a Swenson pull-through because of adenomatous changes in the rectal stump. At age 19 surveillance endoscopy revealed invasive cancer in a juvenile polyp.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Roth SI, Helwig EB. Juvenile polyps of the colon and rectum. Cancer 1963;16:468–79.

    PubMed  Google Scholar 

  2. Shermata DW, Morgan WW, Egleston J, White JJ, Haller JA. Juvenile retention polyps. J Pediatr Surg 1969;4:211–15.

    Article  PubMed  Google Scholar 

  3. Holgerson LO, Miller RE, Zintel HA. Juvenile polyps of the colon. Surgery 1971;69:288–93.

    PubMed  Google Scholar 

  4. Grosfeld JL, West KW. Generalized juvenile polyposis coli: clinical management based on long-term observations. Arch Surg 1986;121:530–4.

    PubMed  Google Scholar 

  5. Grigioni WF, Alampi G, Martinelli G, Piccaluga A. Atypical juvenile polyposis. Histopathology 1981;5:361–76.

    PubMed  Google Scholar 

  6. Sandler RS, Lipper S. Multiple adenomas in juvenile polyposis. Am J Gastroenterol 1981;75:361–6.

    PubMed  Google Scholar 

  7. Lipper S, Khan LB, Sandler RS, Varma V. Multiple juvenile polyposis. Hum Pathol 1981;12:804–13.

    Google Scholar 

  8. Stemper TJ, Kent TH, Summers RW. Juvenile polyposis and gastrointestinal carcinoma: a study of a kindred. Ann Intern Med 1975;83:639–46.

    PubMed  Google Scholar 

  9. White RI, Nyhan AL, Terry P, et al. Pulmonary arteriovenous malformations: techniques and long term outcome of embolotherapy. Radiology 1988;169:663–9.

    PubMed  Google Scholar 

  10. McColl I, Bussey HJ, Veale AM, Morson BC. Juvenile polyposis coli. Proc R Soc Med 1964;57:896.

    PubMed  Google Scholar 

  11. Veale AM, McColl I, Bussey HJ, Morson BC. Juvenile polyposis coli. J Med Genet 1966;3:5.

    PubMed  Google Scholar 

  12. Sachatello CR, Pickren JW, Grace JT Jr. Generalized juvenile gastrointestinal polyposis: a hereditary syndrome. Gastroenterology 1970;58:699.

    PubMed  Google Scholar 

  13. Haggitt RC, Pitcock JP. Familial juvenile polyposis of the colon. Cancer 1970;26:1232–8.

    PubMed  Google Scholar 

  14. Goodman ZD, Yardley JH, Milligan FD. Pathogenesis of coIonic polyps in multiple juvenile polyposis. Cancer 1979;43:1906–13.

    PubMed  Google Scholar 

  15. Jarvinen H, Franssila KO. Familial juvenile polyposis coli; increased risk of colorectal cancer. Gut 1984,25:792–800.

    PubMed  Google Scholar 

  16. Yoshida T, Haraguchi Y, Tanaka A, et al. A case of generalized juvenile gastrointestinal polyposis associated with gastric carcinoma. Endoscopy 1988;20:33–5.

    PubMed  Google Scholar 

  17. Cox KL, Frates RC, Wong A, Gautam G. Hereditary generalized juvenile polyposis associated with pulmonary arteriovenous malformation. Gastroenterology 1980;70:1566–70.

    Google Scholar 

  18. Schilla FW. Carcinoma in a rectal polyp. Am J Surg. 1954;4:434–9.

    Google Scholar 

  19. Liu-TH, Chen MC, Tseng HC. Malignant change of juvenile polyp of colon: a case report. Chin Med J 1978;4:434–9.

    PubMed  Google Scholar 

  20. Smilow PC, Pryor CA Jr, Swinton NW. Juvenile polyposis coli: a report of three patients in three generations of one family. Dis Colon Rectum 1966,9:248–54.

    PubMed  Google Scholar 

  21. Velcek. FT, Coopersmith IS, Chen CK, Kassner EG, Klotz DH, Kottmeir PK. Familial juvenile adenomatous polyposis, J Pediatr Surg 1976;11:781–7.

    Article  PubMed  Google Scholar 

  22. Restrepo C, Moreno J, Duque E, Cuelbo C, Amsel J, Correa P. Juvenile colonic polyposis in Colombia. Dis Colon Rectum 1978;21:600–12.

    PubMed  Google Scholar 

  23. Rozen P, Baratz M. Familial juvenile polyposis with associated colon cancer. Cancer 1982;49:1500–03.

    PubMed  Google Scholar 

  24. Ramaswamy G, Elhossieny AA, Tchertkoff V. Juvenile polyposis of the colon with atypical adenomatous changes and carcinomain situ: report of a case and review of the literature. Dis Colon Rectum 1984;27:393–8.

    PubMed  Google Scholar 

  25. Jass JR, Williams HJ, Bussey HJ, Morson BC. Juvenile polyposis—a precancerous condition. Histopathology 1988;13:619–30.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Read at the Spring Meeting of the New England Society of Colon and Rectal Surgeons, Newport, Rhode Island, April 15, 1989.

About this article

Cite this article

Longo, W.E., Touloukian, R.J., West, A.B. et al. Malignant potential of juvenile polyposis coli. Dis Colon Rectum 33, 980–984 (1990). https://doi.org/10.1007/BF02139111

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02139111

Key words

Navigation