1993 Volume 35 Issue 2 Pages 361-364_1
A 41 year old woman with pigmentation of the lip and the fingers was admitted to our institution. Gastrointestinal examination showed polyposis in the small intestine and the colon. We resected 23 polyps of the colon endoscopically. Histological findings of the pedunculated polyp, 50mm in size which were endospically taken from the recto-sigmoid colon, showed well-differentiated adenocartinoma. Forty-six small intestinal polyps were endoscopically and surgically polypectomized. We resected 67 of 69 polyps endoscopically. There were few reports concerning endoscopic polypectomy for many polyps. At present, there were many case reports about high malignant potential of Peuz-Jeghers syndrome. From the experience of this case, it is suggested that long term follow-up observation is important for the early detection of malignant lesion and endoscopic polypectomy is useful for the treatment in the patients with Peutz-Jeghers syndrome.
