Polyps in a child, juvenile polyposis in children( babies, newborns) - symptoms, photo
Benign formations on the walls of the mucous membrane of various organs of the digestive tract, formed as a result of unauthorized growth of the epithelial cells, are a very common disease.The danger of them is a violation of the normal process of the gastrointestinal tract, leading to severe consequences.In addition, some types of polyps are capable of degeneration into malignant tumors, that is, malignancy.
As a rule, this disease is most often diagnosed in older people, and the highest frequency of manifestations is recorded at the age of 50-60 years.However, in recent years, children, even in infancy, are increasingly diagnosed with tumors that rise above the surface of the mucous membrane and are attached to it with a wide base or pedicle.
About 90% of all detected polyps in the baby are in the intestine.The first manifestations of growths, the so-called juvenile, are observed in children aged 3 to 6 years.They do not pose a particular danger, but constant monitoring is necessary.In the case of
The most dangerous is a family adenomatous polyposis in a child, when the number of growths can leave dozens and hundreds.In addition to the intestine, they can be in the stomach, the thyroid gland.This type of neoplasm has a high risk of developing into cancer and is subject to mandatory treatment.
Symptoms of polyps in a child
If the disease is at an early age, the child's polyps are absent, except for the presence of Peits-Jagers disease, but if this problem is present in other family members, it is advisable to conduct an endoscopy.With the development of the inflammatory process, the child complains of pain in the abdomen, in feces may be an admixture of mucus and blood.With the localization of formations in the rectum, defecation is accompanied by pain and bleeding due to the possibility of injury when passing stool masses through the intestine.
On the general condition of the child, single and even multiple polyps do not particularly affect.When detachment of the tumor can begin massive bleeding, leading to anemia.Anemia can develop and with high-lying build-up on the mucous membrane, when blood loss passes unnoticed, but constantly.Diagnosis of the disease begins with an examination of the anus for the presence of cracks, hemorrhoidal cones and the like.Later on, they go on to the finger research of the rectum, having previously cleared the intestines with the help of enemas.Approximately eighty percent of neoplasms are available for finger examination.With this in mind, it is advisable to make a child a sigmoidoscopy or fibrocolonoscopy to exclude the possibility to skip the formed growths on the mucosa.
Among all neoplasms in children, juvenile polyps occupy about 80%.They are characterized by an elongated narrow leg and a smooth shiny surface.In contrast radiology, the contours of the neoplasm represent a typical picture of filling defects with distinct, even edges.The presence on the foot of the coating in the form of normal colonic mucosa indicates that the body of the overgrown cell is initially formed, and then, under peristaltic contractions and tension, the base is stretched and turned into a leg.Juvenile polyps in children, can be called the most common.They represent a special nosological form and are divided into:
- hereditary juvenile-adenomatous.
The histological picture of such a polyp in a child is a single-layer integumentary epithelium of the large intestine with an ulcerated surface.Basically, the formation consists of a fibrous stroma with developed vessels with a large number of inflammatory cells.Stroma contains a large number of cysts, filled with mucus and lined with epithelium, producing mucus.
In the initial stage of the development of the disease, the child has inflammation and mucosal manifestations, accompanied by occlusion of the ducts of the gland of the intestine.Expanding the area of expression and inflammation of the mucosa, the proliferation of clogged glands leads to the formation of a mass of granulation tissue.The glands accumulate mucus, forming cysts, alternating with the stroma of the polyp.
At the final stage, the leg can be twisted, and the lesion comes out with a fecesome mass.If the cause of juvenile education in a child is an inflammatory process, then characteristic "lakes" of the mucosa are formed.The formation of juvenile polyps in children occurs, as a rule, during the first ten years of life, but can manifest itself in adulthood.A small number of formations do not require treatment, and they disappear with simple regression or autoamputation.
The main localization of this type of neoplasm is noted in the large intestine, but they can be found in the small intestine and even in the stomach.Approximately half of the children have sporadic growths, in the other half their number ranges from two to ten.Occasionally, their number is several hundred and then it is classified as juvenile polyposis.It is a form of diffuse polyposis of the large intestine and is distinguished by a predominance of epithelial secretions of glands in tumors.When the disease is polyposis in children usually small sizes of growths, are two to three millimeters.
Symptoms of juvenile polyps in a child
Single growths do not show themselves in any way, but with the increase in the size and number of cell proliferation, the following symptoms appear:
- Traces of scarlet blood that envelops stools or excretes after feces.
- Frequent urge to empty the stomach.
- Unpleasant sensation in the anus, pain during defecation.
For the treatment of a small number of juvenile polyps in a child, due to the lack of propensity for malignancy, conservative methods are used.In other cases, transanal excision is used by polypectomy using a colonoscope and a sigmoidoscope, with simultaneous electrocoagulation of the pedicle.
Polyps in infants( newborns)
Constipation in infants is quite common.Among the causes of its causing can be called polyps.In newborns, polyps can be caused by the so-called Peits-Egers syndrome or genetic predisposition.Clinical manifestations are in a watery stool with an admixture of blood, mucus, frequent regurgitation.
In addition to the hereditary factor, the cause of the appearance of polyps in newborns may be a failure during intrauterine development, when there was an irregular formation of the mucosa of the gastrointestinal tract.Treatment at the same time should be very gentle and first of all to establish a normal work of the stomach with the help of a special diet, like mummies, and for the baby.In exceptional cases, it is recommended to carry out the rapid removal of the expanded cells, especially if they are in the anus.