十二指腸ポリープに粘液貯留を伴う偽浸潤を認め，診断に苦慮した不全型Ｐｅｕｔｚ‐Ｊｅｇｈｅｒｓ症候群の１例

• 田村 康

  新潟県立中央病院内科

• 田覚 健一

  新潟県立中央病院病理検査科

• 渡辺 史郎

  新潟県立中央病院病理検査科

• 丸山 貴広

  新潟県立中央病院病理検査科

• 小堺 郁夫

  新潟県立中央病院病理検査科

• 藤原 敬人

  新潟県立中央病院病理検査科

• 酒井 剛

  新潟県立中央病院病理検査科

• 関谷 政雄

書誌事項

タイトル別名

• INCOMPLETE PEUTZ-JEGHERS SYNDROME WITH PSEUDOINVASION OF DUODENAL POLYP: REPORT OF A CASE

抄録

A 37-year-old man was admitted to our hospital for the further examination and therapy of the duodenal tumor. Gastrointestinal endoscopy revealed a large polypoid lesion which had a rough, nodular surface in the duodenal bulb. And at the side of tumor edge, there were elevated lesions like a submucosal tumor. Endoscopic ultrasonography showed a slight hypere-choic mass derived from second to third layers of the duodenal wall. Cystic areas were contained within the tumor. Fine-needle aspiration biopsy was performed. The biopsy speci-men showed epithelial and Brunner's gland cells hyperplasia. Surgical resection was performed in consideration of the tumor size, and duodenal polypoid lesion measured 50× 43× 28mm in size. The tumor was diagnosed histologically as Peutz Jeghers (P-J) polyp with pseudoinvasion in the submucosa to subserosa. Additionally, another hamartomatous polyps were observed in the jejunum and ileum. Neither family history of intestinal polyposis nor muco-cutaneous pigmentation was observed, the case was diagnosed as incomplete Peutz-Jeghers Syndrome.

収録刊行物

• 日本消化器内視鏡学会雑誌

  日本消化器内視鏡学会雑誌 48 (6), 1221-1227, 2006

  一般社団法人 日本消化器内視鏡学会

キーワード

• Peutz-Jeghers症候群
• 十二指腸ポリープ
• 偽浸潤
• 超音波内視鏡

詳細情報

• CRID: 1390282679194281088
• NII論文ID: 130004254962
• NII論文ID: 10018198340
• NII書誌ID: AN00192102
• DOI: 10.11280/gee1973b.48.1221
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2006314602
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可