Fundic Gland Polyposis in Patient without Familial Adenomatosis Coli - A Case Report with Atypical Clinical Presentation and Location

非遺傳性多發性胃基底腺性息肉：一病例報告

10.6440/TZUCMJ.199409.0203

楊基滐(Chi-Chieh Yang)；辛政憲(Jeng-Shiann Shin)；林錫璋(Xi-Zhang Lin)；許秉毅(Ping-I Hsu)；林勤益(Ching-Yih Lin)；張定宗(Ting-Tsung Chang)；蔡宏名(Hong-Ming Tsai)；周楠華(Nan-Haw Chow)

胃基底腺性息肉的非典型表現 ； Fundic gland polyposis with atypical presentation

慈濟醫學雜誌

6卷3期（1994 / 09 / 01）

203 - 208

英文

本病例為-22歲年經女性，平常患有反覆性的上腹疼痛，此次因上消化道出血而入院。經內視鏡和上消化道攝影發現大小不一，分布從胃賁門部延胃大彎至胃竇部的多發性息肉，最大的息肉可大至4公分，由息肉切除術得到之檢體，組織病理大為胃基底腺性息肉滿從過去文獻對胃基底腺性息肉報告，其大小很少大於1公分，分布主要於胃基底部和體部臨床上大都無症狀或不特異症狀，本病例所表現的不同於過去文獻所述，故提出報告。(慈濟醫學1994; 6: 203-208)

A 22-year-old female with a history of frequent epigastralgia presented with coffee ground emesis. Endoscopy and upper gastrointestinal series revealed gastric ployposis extending from the cardia to the antrum. The largest polyp was more than 4 cm in diameter. Fundic gland polyposis was diagnosed from a polypectomy specimen. Fundic gland polyposis has been previously reported to present with non-specific or no gastrointestinal symptoms and is usually located in the fundus and body, The size of the polyp rarely exceeds 1 cm in diameter. This case demonstrates an unusual presentation with has not been previously reported, (Tzu-Chi Med J 194; 6: 203-208)