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A Solitary Peutz-Jeghers-type Hamartomatous Polyp of the Rectum: Report of a Case and Review of the Literature
Authors:Nakayama, Hirofumi   Fujii, Makoto   Kimura, Atsuo   Kajihara, Hiroki
Affiliation:1 Laboratory of Pathology, Institute of Health Sciences, Hiroshima University School of Medicine Hiroshima
2 Department of Internal Medicine, Yoshijima Hospital Hiroshima
3 Department of Surgery, Yoshijima Hospital Hiroshima
Abstract:A solitary Peutz-Jeghers-type polyp of the rectum in a 64-year-oldJapanese man is reported. Barium enema and endoscopic examinationrevealed a solitary polypoid lesion in the rectum. The polypwas pedunculated, and measured 2 x 1.5 x 1.5 cm. The patienthad neither mucocutaneous pigmentation nor a family historyof gastrointestinal polyposis. Histopathologically, this polyphad an arborizing muscular network originating from the muscularismucosa, and was covered by well organized mucosa with epithelialhyperplasia. The smooth muscle bundles in the polyp were thickerthan those seen in Peutz-Jeghers syndrome, but their networkwas not as complex.
Keywords:Peutz-Jeghers-type polyp    Hamartomatous polyp    Colon    Rectum
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