Gastric Polyposis in Familial Polyposis Coli

家族性大腸息肉症合併胃息肉症

張扶陽(Full-Young Chang) ； 鄭俊堂(Jiunn-Tarng Cheng) ； 黎國洪(Kwok-Hung Lai) ； 蔡世豪(Shyh-Haw Tsay) ； 李壽東(Shou-Dong Lee) ； 蔡養德(Yang-Te Tsai)

《中華民國消化系醫學會雜誌》 5卷4期 (1988/12) Pp. 213-217

https://doi.org/10.6557/GJTa.198812_5(4).0005

摘要

家族性大腸息肉症併發胃息肉症之流行率在國外並不罕見約為27％-68%，以組織學分類，這些胃息肉可能是胃底腺體息肉、腺狀息肉、類淋巴息肉、微小類癌等，甚而已有胃癌。就我們所知，這種因家族性大腸息肉症而合併胃息肉症似乎國內尚未報告過。本文報告一例30歲男性因上腹疼痛入院，家族史具有家族性大腸息肉症。經臨床檢查顯示此病例亦有家族性大腸息肉症合併降結腸腺癌，及有肝及左上鎖骨淋巴結轉移。胃有無數小型、半圓，顏色如同正常黏膜密布於胃底及胃體的胃腺體息肉。本文中並研討此兩種息肉症的關連及臨床意義。

關鍵字

家族性大腸息肉症 ； 胃息肉症 ； 胃底腺體息肉

並列摘要

The occurrence of gastric polyps in familial polyposis coli patients varies from 27% to 68%. Various histological patterns have often been described such as fundic gland polyps, adenomatous polyps, lymphoid polyps and microcarcinoid. To our knowledge, this association has never been mentioned in our country, probably due to the rare occurrence of this hereditary disease. A 30-year-old male with a family history and present symptoms of malignant change of colonic polyps in descending colon and metastasis to Virchow's node and the liver was presented to our hospital. Diagnosis revealed the presence of fundic gland polyps which suggested gastric polyposis in the fundus and body. The characteristics of gastric polyps and familial polyposis coli were reviewed carefully.

並列關鍵字

familial polyposis coil ； gastric polyposis ； fundic gland polyps