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KMID : 0367419960390030423
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Journal of Korean Pediatric Society
1996 Volume.39 No. 3 p.423 ~ p.430
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A Case of Nonfamilial Generalized Gastrointestinal Juvenile Polyposis with Pancytopenia
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김종욱
공흥표/박강서/김완섭/이춘희
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Abstract
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In contrast to the child with a solitary juvenile polyp, generalized gastrointestinal juvenile polyposis have a much different clinical course. In generalized juvenile polyposis blood loss can be considerable and iron-deficiency anemia is a
common
observation.
Although it is usually regarded as a benign condition, juvenile polyposis may predispose to cancer of the gastrointestinal tract.
We experienced a case of nonfamilial generalized gastrointestinal juvenile polyposis with pancytopenia in a 15 year-old male patient who had hospitalized because of intermittent rectal bleeding with anemia for three years. Histological
examination
of
polyps from affected patient revealed a spectrum of change from juvenile polyps, to juvenile polyps with adenomatous changes.
Subtotal colectomy, rectal mucosectomy, and endorectal pull-through procedure were successfully performed. No complication has occured since the discharge.
A brief review of related literatures is also presented.
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KEYWORD
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