頁籤選單縮合
題名 | Intestinal Polyps in Children and Adolescents--A Review of 103 Cases=孩童及青少年的腸道息肉症--103例回顧 |
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作者 | 柯芳圓; 吳子聰; 黃碧桃; | 書刊名 | 中華民國小兒科醫學會雜誌 |
卷期 | 36:3 民84.05-06 |
頁次 | 頁197-202 |
分類號 | 417.5474 |
關鍵詞 | 幼年性息肉; 幼年性息肉群症; 腺瘤性息肉群症; Peutz-Jeghers症候群; Gardner症候群; Juvenile polyp; Juvenile polyposis; Familial adenomatous polyposis; Peutz-jeghers syndrome; Gardner's syndrome; |
語文 | 英文(English) |
中文摘要 | 幼年性大腸息肉症是孩童最常見的腸道腫瘤,也是血便的主要原因之一。自1961年3月至1994年3月共有103例患大腸息肉症的孩童和青少年在台北榮民總醫院治療。其中有87例(佔84.5%)爲幼年性大腸息肉症,2例爲單發性腺瘤性息肉,14例爲遺傳性的大腸息肉群症。幼年性大腸息肉症發發於2到10歲的孩童。男女比例爲1.4比1。紅色血便爲其主要症狀(佔97.7%)。87例病人中,82.8%只有單一性息肉並且83.3%的息肉位於直腸和乙狀結腸。在廣泛使用大腸鏡檢後,多發性息肉增加了且有較多息肉被發現位於比乙狀結腸更高的位置。大部份的幼年性息肉都以大腸鏡息肉切除術除去。息肉複發率爲10.2%。 2位幼年性大腸息肉群症中的一位因腸套疊而切除部份大腸,但在剩餘大腸中又複發息肉,經大腸鏡息肉切除術除去。7例Peutz-Jeghers症候群來自5個家庭,於診斷之初其中一例無息肉,二例以腸套疊爲表現,一個19歲女孩有二側卵巢囊。在3例家族性腺瘤性大腸息肉群症中,有一例於初次檢查時即發現有腺癌。2例Gardner症候群服用Sulindac藥物,於追蹤3年後仍未發現有惡性的變化。 |
英文摘要 | Juvenile polyps are the most common tumors of the gastrointestinal tract in children and are the principal cause of hematochezia. A total of 103 children and adolescents with intestinal poiyps have been treated in Veterans General Hospital-Taipei from March 1961 to March 1994. The diagnosis included 87 cases (84.5%) of juvenile polyps, 2 cases of isolated adenomatous polyp and 14 cases of inherited polyposis syndrome. Juvenile polyps most often occur in children between 2 to 10 years old, with a male-to-female ratio of 1.4.1. Rectal bleeding was the main symptom (97.7%). Of the 87 patients, 82.8% had isolated polyps and 83.3% of those were located in rectosigmoid colon. After extensive use of colonoscopy, the reported incidence of multiple polyps substantially increased, and more polyps were found proximal to the rectosigmoid colon. Most juvenile polyps were removed by colonoscopic polypectomy. The recurrent rate was 10.2%. One of the two cases of juvenile polyposis coli suffered from intussusception demanding partial colectomy. Recurrent polyps were found in the remaining colon and were removed by colonoscopic polypectomy. Seven patients of Peutz-Jeghers syndrome came from five families. At initial diagnosis, one case had no polyps and two presented with intussusception. A 19-year-old girl was found to have bilateral ovarian cysts. One of the three familial adenomatous polyposis had adenocarcinoma at initial evaluation. Two cases of Gardner’s syndrome received sulindac treatment, and no evidence of malignancy was found after three years of follow-up. |
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