Lymphoid
polyps (focal lymphoid hyperplasia) of the colon in children.
Pediatrics. 1982 May;69 (5):598-600.
Lymphoid polyps
(focal lymphoid hyperplasia) of the colon are rare in children. These
lesions are benign, but must be differentiated from malignant
lymphomas. Grasp biopsies of the lesion are inadequate for this
purpose and the polyp should be submitted in toto for pathologic
examination. No treatment other than local excision is warranted. Two
cases are presented and the literature is reviewed.
Gastrointestinal
lymphonodular hyperplasia and lymphoid polyps of the rectum--a rare
coincidence.Z
Gastroenterol. 1997 Apr;35(4) :271-5.
Lymphoid polyps
of the rectum are rare lesions. We report on an 8 1/2-year-old boy,
who presented with hematochezia and abdominal pain. Flexible endoscopy
revealed large sessile polyps of the rectum and lymphonodular
hyperplasia of the duodenum, terminal ileum und descending colon. One
rectal polyp was excised in toto, microscopically it revealed the
typical features of a lymphoid polyp. Based on the distinct follicular
architecture, the cytomorphology and the immunohistochemical findings
of the lymphatic infiltrate we were able to distinguish this lesion
from malignant lymphoma. The coincidence of lymphoid polyps and
gastrointestinal lymphonodular hyperplasia gives evidence that both
entities are different variations of the same benign
lymphoproliferative process. Lymphoid polyps of the rectum should be
treated by local excision for diagnostic purposes. Immunohistochemical
staining of fresh, nonfixed tissue is a useful ancillary technique in
distinguishing these benign lesions from lymphoma of mucosa associated
lymphoid tissue (MALT-lymphoma). |