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Q6: A 34 year old female patient presented with weakness. CBC reveals microcytic hypo chromic red blood cells. Exploration of the various system was conducted which showed a polypoid mass in the small intestine that is composed of haphazard proliferation mucosal glands and smooth muscles of the intestine. Which of the following additional feature most likely will be present?
A. Metastatic mesenteric lymph node
B. Intestinal obstruction
C. Osteoma and epidermal cysts
D. Oral cavity pigmentation
E. Presence of lung carcinoma
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i ll go with d.. peutz jeghr syn.. but it is not haphazard but rather it has got a arborising pattern..
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Cannot be A, E.. as malignancy primary or secondary s very rare in SI..
C.. Gardners.. assoc with many polyps mainly in colon.. here only single polyp..
B. possible.. may be hyperplastic polyp.. im not sure abt this choice
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Its is D, sure very good:haphazard proliferation mucosal glands and smooth muscles = PJ
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but PJ has got beautiful arborising pattern (tree like).. source Robbins
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yes you are right! the point i would like to highlight is haphazard= this term goes for a hamartomatous lesion- like PJ- which is an hamartoma-
so arborising pattern - simpley a patern...but if we say haphazard proliferation of cells/tissue...that means a hamartoma. Pathology is all about terms!
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....source Robbins again!
