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Contrast-Enhanced Ultrasound Defines Vascularization Pattern of Hamartomatous Colonic Polyps in Peutz-Jeghers Syndrome

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초록

The hamartomatous polyps in Peutz-Jeghers syndrome may have malignant potential. To differentiate between hamarto-matous and adenomas polyps, vascular characterization can be assessed using noninvasive procedures, such as contrast-enhanced ultrasound (CEUS). The neo-angiogenic character-istics of colorectal adenomas and carcinomas are expressed as an anarchic vascular pattern observed on CEUS. Using CEUS in a patient with Peutz-Jeghers syndrome, we describe for the first time the vascularization of a hamartomatous colonic polyp that exhibits a hierarchy branching pattern

Abstract

The hamartomatous polyps in Peutz-Jeghers syndrome may have malignant potential. To differentiate between hamarto-matous and adenomas polyps, vascular characterization can be assessed using noninvasive procedures, such as contrast-enhanced ultrasound (CEUS). The neo-angiogenic character-istics of colorectal adenomas and carcinomas are expressed as an anarchic vascular pattern observed on CEUS. Using CEUS in a patient with Peutz-Jeghers syndrome, we describe for the first time the vascularization of a hamartomatous colonic polyp that exhibits a hierarchy branching pattern

참고문헌 (4)

  1. Jansen M, "Mucosal prolapse in the pathogenesis of Peutz-Jeghers polyposis", Gut, 55, pp.1~5 (2006)
  2. Badea R, "Contrast ultrasonography: a necessary procedure for a better characterization of digestive tract pathology", Med Ultrason, 12, pp.73~80 (2010)
  3. Konerding MA, "3D microvascular architecture of pre-cancerous lesions and invasive carcinomas of the colon", Br J Cancer, 84, pp.1354~1362 (2001)
  4. Zhuang H, "Features of time-intensity curve parameters of colorectal adenocarcinomas evaluated by double-contrast enhanced ultrasonography: initial observation", Eur J Radiol, 81, pp.677~682 (2012)

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