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Rectal carcinoma in a young female patient with Peutz-Jeghers syndrome: a case report
Hsiang-Lin Tsai1, Chih-Hung Lin, Ya-Lin Cheng
1Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC.
Objective:
To report a case of rectal cancer in a patient with Peutz-Jeghers syndrome (PJS).
Clinical Presentation And Intervention:
A 20-year-old woman with intermittent bloody stool of 4 months was admitted for examination. Gastroendoscopy revealed multiple polyps involving the stomach, small intestine, colon and a rectal adenocarcinoma. A diagnosis of PJS was made based on intestinal polyps with characteristic pathology and melanotic macules on the lips. After surgery and chemotherapy upon follow-up at 8 months, the patient did not have any signs of recurrence.
Conclusion:
This case showed that rectal carcinoma should be considered for young patients with PJS.
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