十二指肠息肉 消化性十二指肠炎？讨论病例【IBD病理群病例41】

小王

范新娟 中山大学附属第六医院
男，33岁，十二指肠球部2枚息肉，直径分别为0.5和1.7cm

和睦家 病理 乔
表面胃小凹上皮化生，布氏腺增生没见到主细胞，不确定是不是胃黏膜异位，背景像是消化性十二指肠炎

范新娟 中山大学附属第六医院
想再听听老师们的意见，我们有一个初步诊断

陈晓宇
十二指肠球部胃上皮化生，化生上皮常常呈息肉样增生，内镜下息肉可以单发也可以多发@范新娟 中山大学附属第六医院 

石雪迎
@和睦家 病理 乔 @陈晓宇 上海仁济 消化病理 同意两位老师意见@范新娟 中山大学附属第六医院

肖书渊
为解决实际问题、叫“炎症性息肉”就好了

刘秀丽
Syndromic and sporadic inflammatory/hyperplastic small-bowel polyps: a comparative study.
Liu X, et al. Gastroenterol Rep (Oxf). 2015.
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Abstract
BACKGROUND: Inflammatory/hyperplastic small-bowel polyps (SBPs) occur either sporadically or in patients with a polyposis syndrome; however, comparison between these two settings of the histological features of SBPs has not been reported and the etiology of sporadic inflammatory/hyperplastic SBPs remains unclear.

METHOD: Twenty-eight cases of sporadic inflammatory/hyperplastic SBPs and nine cases of syndromic SBPs were retrieved from the Department of Anatomic Pathology at the Cleveland Clinic. Clinico-demographics and histological features were compared between the two groups.

RESULTS: Patients with syndromic inflammatory/hyperplastic SBPs were younger (48 vs. 63 years; P = 0.007) and had higher rates of hemorrhagic telangiectasia (55.6% vs. 0%; P = 0.000), gastric polyps (87.5% vs. 21.4%; P = 0.001), and family history of colon cancer (62.5% vs. 11.1%; P = 0.014). Sporadic cases were more frequently associated with gastro-esophageal reflux (35.7% vs. 0%; P = 0.079) and anti-reflux medication use (55.6% vs. 11.1%; P = 0.026). Histologically, the syndromic SBPs were more often of pure intestinal type (45.4% vs. 3.8%; P = 0.005) and had prominent vessels (81.8% vs. 42.3%; P = 0.036).CONCLUSIONS: Patients with syndromic SBPs are younger and have higher rates of hemorrhagic telangiectasia, gastric polyps, and family history of colon cancer. Histologically, syndromic inflammatory/hyperplastic SBPs are more likely to be of pure intestinal type and to have prominent vessels.

The Author(s) 2015. Published by Oxford University Press and the Digestive Science Publishing Co. Limited.