直腸Inflammatory myoglandular polypの1例

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  • A Case of Inflammatory Myoglandular Polyp of the Rectum.

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Nakamura et al reported 32 cases of colorectal polyps named inflammatory myoglandular polyp in 1992. Their characteristic features were inflammatory granulation tissue in the lamina propria mucosae, proliferation of muscularis mucosae and hyperplastic glands, pathologically. We experienced a polyp identical with the report. A 71-year-old male visited Miyoshi Medical Assocoation Hospital because of the positive reaction of the stool occult test. Colonoscopy revealed a red-colored pedunculated polyp in the right-side wall of the upper rectum. The surface of the polyp was smooth and covered partially with fur. The polyp was excised endoscopically and its size was 8 × 6 × 6mm. Pathological examination showed inflammatory granulation tissue in the lamina propria mucosae, proliferation of smooth muscles in radial fashion and hyperplastic glands with cystic dilatation. Therefore, we diagnosed the polyp as inflammatory myoglandular polyp. This type of polyp of the colorectum was very rare and only 40 cases including our case have been reported in the world.

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