What About Large-Bowel Polyps in Children?

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OF those polyps of the colon and rectum which occur in childhood, one peculiar type designated as “juvenile polyp” constitutes a significant percentage. Though for many years this lesion has been recognized as a distinct type, some of the reports do not emphasize this fact.1–7 The purpose of this paper is to stress this distinction through a clinicopathologic study of 15 children with such lesions examined at the Cleveland Clinic in the last decade.

Patients in the Series

In the period from October 1953 to October 1962, 15 patients younger than 16 years of age were treated at the Cleveland Clinic Hospital for polyps of the colon or the rectum (Table 1). The ages of the children ranged from 2 to 10 years, the mean age being 5 years. There were 11 boys and 4 girls, a ratio of almost 3 to 1. The predominance as to males has been reported by others.2–7, 9


Rectal bleeding was the only symptom common to all patients. Usually the blood was red or dark red and without clots. Sometimes it was mixed with the feces. Bleeding had been observed as recently as one week and as remotely as two years before our examinations. Pain was an inconstant symptom, but when present it was crampy or like “gas pains.” Though anemia, weight loss, and evidence of chronic illness were absent, the growth rate of one patient was subnormal until a large polyp was removed from his transverse colon.


The discovery of the . . .



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