Rectal carcinoma in a young female patient with Peutz-Jeghers syndrome: A case report

Abstract

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. © 2013 S. Karger AG, Basel.