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  Vol. 111 No. 4, April 1963 TABLE OF CONTENTS
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Malignant Degeneration and Metastasis in Peutz-Jeghers Syndrome

JAMES L. ACHORD, M.D.; HERBERT D. PROCTOR, M.D.

Arch Intern Med. 1963;111(4):498-502.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Since Peutz in 19211 recognized the hereditary nature of gastrointestinal polyposis associated with oral pigmentation and its reemphasis by Jeghers in 1949,2 the syndrome of Peutz-Jeghers has become a well-documented clinical entity. Several thorough reviews have appeared on the clinical features of this syndrome.2,4-7 It is not our intention here to reiterate these signs and symptoms. A facet still unsettled, however, is the question of whether "malignant" changes as previously described in approximately 20% of the cases8 are true malignancies or developmental anomalies as suggested by Bartholomew et al.5 A survey of the English language literature through reviews and individual case reports still fails to reveal a single, well-documented case of metastasis or death directly attributable to malignant degeneration of a polyp at any site in the Peutz-Jeghers syndrome. The following case is, to our knowledge, the first documented instance of such an occurrence.

Report . . . [Full Text PDF of this Article]


Author Affiliations

ATLANTA

From the Department of Medicine, Emory University School of Medicine, and the Medical Service, Grady Memorial Hospital.; Instructor in Medicine, Emory University School of Medicine (Dr. Achord); Senior Assistant Resident in Medicine, Grady Memorial Hospital (Dr. Proctor).


Footnotes

Received for publication July 26, 1962; accepted Sept. 13.



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