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Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review
A 68‐year‐old female patient was referred to our hospital with a 30‐mm polyp in the second portion of the duodenum found via esophagogastroduodenoscopy. The polyp had an irregular, lobular surface and a thick stalk. In addition, white dots were detected on the surface. Magnifying endoscopy with narr...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043356/ https://www.ncbi.nlm.nih.gov/pubmed/36998347 http://dx.doi.org/10.1002/deo2.226 |
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author | Hamada, Yasuhiko Katsurahara, Masaki Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Fujiwara, Yasuko Beppu, Tuyoshi Tsuboi, Junya Yamada, Reiko Nakamura, Misaki Tanaka, Kyosuke Horiki, Noriyuki Nakagawa, Hayato |
author_facet | Hamada, Yasuhiko Katsurahara, Masaki Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Fujiwara, Yasuko Beppu, Tuyoshi Tsuboi, Junya Yamada, Reiko Nakamura, Misaki Tanaka, Kyosuke Horiki, Noriyuki Nakagawa, Hayato |
author_sort | Hamada, Yasuhiko |
collection | PubMed |
description | A 68‐year‐old female patient was referred to our hospital with a 30‐mm polyp in the second portion of the duodenum found via esophagogastroduodenoscopy. The polyp had an irregular, lobular surface and a thick stalk. In addition, white dots were detected on the surface. Magnifying endoscopy with narrow‐band imaging showed a white material deep in the loop‐shaped microvessels on the white dots. Endoscopic ultrasonography showed a hypoechoic elevated lesion from the mucosal layer, and a feeding vessel traversing the stalk to supply the head of the polyp. Endoscopic biopsy did not provide a definitive diagnosis. Endoscopic resection was conducted for a definitive diagnosis and treatment. The resected specimen showed a branching bundle of smooth muscle fibers covered by hyperplastic mucosa, consistent with a hamartomatous polyp. The patient had no mucocutaneous pigmentation or familial history of the hamartomatous polyp. The polyp was finally diagnosed as a solitary Peutz‐Jeghers‐type polyp. No recurrence has been observed for seven years postoperatively. |
format | Online Article Text |
id | pubmed-10043356 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-100433562023-03-29 Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review Hamada, Yasuhiko Katsurahara, Masaki Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Fujiwara, Yasuko Beppu, Tuyoshi Tsuboi, Junya Yamada, Reiko Nakamura, Misaki Tanaka, Kyosuke Horiki, Noriyuki Nakagawa, Hayato DEN Open Case Reports A 68‐year‐old female patient was referred to our hospital with a 30‐mm polyp in the second portion of the duodenum found via esophagogastroduodenoscopy. The polyp had an irregular, lobular surface and a thick stalk. In addition, white dots were detected on the surface. Magnifying endoscopy with narrow‐band imaging showed a white material deep in the loop‐shaped microvessels on the white dots. Endoscopic ultrasonography showed a hypoechoic elevated lesion from the mucosal layer, and a feeding vessel traversing the stalk to supply the head of the polyp. Endoscopic biopsy did not provide a definitive diagnosis. Endoscopic resection was conducted for a definitive diagnosis and treatment. The resected specimen showed a branching bundle of smooth muscle fibers covered by hyperplastic mucosa, consistent with a hamartomatous polyp. The patient had no mucocutaneous pigmentation or familial history of the hamartomatous polyp. The polyp was finally diagnosed as a solitary Peutz‐Jeghers‐type polyp. No recurrence has been observed for seven years postoperatively. John Wiley and Sons Inc. 2023-03-27 /pmc/articles/PMC10043356/ /pubmed/36998347 http://dx.doi.org/10.1002/deo2.226 Text en © 2023 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports Hamada, Yasuhiko Katsurahara, Masaki Umeda, Yuhei Ikenoyama, Yohei Shigefuku, Akina Fujiwara, Yasuko Beppu, Tuyoshi Tsuboi, Junya Yamada, Reiko Nakamura, Misaki Tanaka, Kyosuke Horiki, Noriyuki Nakagawa, Hayato Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review |
title | Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review |
title_full | Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review |
title_fullStr | Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review |
title_full_unstemmed | Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review |
title_short | Endoscopic resection for a solitary Peutz‐Jeghers type polyp in the duodenum: A case report with literature review |
title_sort | endoscopic resection for a solitary peutz‐jeghers type polyp in the duodenum: a case report with literature review |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10043356/ https://www.ncbi.nlm.nih.gov/pubmed/36998347 http://dx.doi.org/10.1002/deo2.226 |
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