Korean Journal of Gastrointestinal Endoscopy 2005;30(4): 222-225.
대장에 발생한 고립성 Peutz-Jeghers 용종 1예
정 석·박인서*·전용선†·이진우·이정일·권계숙·이돈행·김범수·김형길·신용운·김영수
인하대학교 의과대학 내과학교실, *병리학교실, †방사선과학교실
Solitary Peutz-Jeghers Polyp of the Colon
Seok Jeong, M.D., In Suh Park, M.D.*, Yong Sun Jeon, M.D.†, Jin-Woo Lee, M.D., Jung Il Lee, M.D., Kye Sook Kwon, M.D., Don Haeng Lee, M.D., Pum-Soo Kim, M.D., Hyung Gil Kim, M.D., Yong Woon Shin, M.D. and Young Soo Kim, M.D.
Departments of Internal Medicine, *Pathology and †Radiology, Inha University College of Medicine, Incheon, Korea
Abstract
Peutz-Jeghers syndrome is an autosomal-dominant inherited disorder characterized by polyposis of the alimentary tract, the abnormal mucocutaneous pigmentation, and family history of Peutz-Jeghers syndrome. A single Peutz- Jeghers polyp arising in a patient without pigmentation and family history of Peutz-Jeghers syndrome is termed a solitary or isolated hamartomatous polyp of Peutz-Jeghers type. These solitary polyps are found most frequently in the small intestine but also occur in the large bowel and stomach as well. In a healthy 48-year-old man, a single large polyp was found incidentally in the ascending colon during colonoscopy and treated by snare polypectomy. Microscopic exam of the resected specimen revealed the features of hamartomatous polyp of Peutz- Jeghers type. There was no evidence of other polyps on esophagogastroduodenoscopy and small bowel series. We report a patient with solitary Peutz-Jeghers polyp of the colon, who had no stigmata associated with Peutz-Jeghers syndrome. (Korean J Gastrointest Endosc 2005;30:222225)
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