Diagnosis and management of a solitary colorectal juvenile polyp in an adult during follow-up for ulcerative colitis: A case report.

juvenile polyps are the most common types of polyps in children but rare in adults. inflammatory bowel disease (IBD) patients had the same spectrum of symptoms as patients with juvenile polyps. Both patients with polyps teenagers and people with active IBD have high fecal calprotectin levels. Four cases of children with ulcerative colitis (UC) with solitary juvenile polyps and one adult case with UC with juvenile polyposis syndrome have been reported in the diagnosis of UC, while there was no case of adults with UC with solitary juvenile polyps were reported in men literature.

A 37 years with a 12 year history of UC was brought to our clinic because of the increased frequency of bowel movements. UC was diagnosed at the age of 25. As the lesions confined to the rectum, sulfasalazine Mesalazine suppositories or suppositories are used. Patients were followed at an outpatient clinic, and a colonoscopy done every one or two years. The latest inspection conducted three years before in the presence of proctitis.

More recently, the patient complained of three to five bowel movements a day. There is mucus in the stool but no blood visible. Colonoscopy revealed a solitary polyp, about 1.5 cm, with a short and wide rods in the transverse colon mucosa surrounded by congestive and edema. The patient had no family history of colorectal polyps or cancer. polyp was successfully removed by endoscopic mucosal resection.

Histopathological examination revealed that the juvenile polyp is a polyp without signs of malignant. Immunohistochemical staining for p53 expression of wild type and p53 excess undetected. Ki-67 labeling index was 3% .This is the first case of adult UC patients with solitary juvenile polyps in the 12-year follow-up. The correlation between juvenile polyps and IBD activity requires further research.

juvenile papillomatosis of breast (Swiss cheese disease) have frequent association with PIK3CA and / or mutation of AKT1.

Juvenile papillomatosis (JP), the so-called Swiss cheese disease is a rare benign breast disease of young adults. Associations (up 28%) with breast cancer in the family affected patients have been reported. A cystic mass breast lesions and calcifications multinodular JP characterize the imaging study.

Breast cancer develops only at very low part of the patient. JP molecular background has not been studied until now. In this study, we discuss the case of JP mutation analysis and correlate these results with follow-up and family-history in the context of the comprehensive review of the literature JP. We identified 13 cases that meet the criteria of JP. All patients were women with an average age of 38 years (26 to 50 years). follow-up information is available in 11 of 13 patients. Quite paraffin embedded tissue and DNA quality was good for the next generation sequencing (NGS) is available in 10 patients.

In 5 of the 10 patients, we found PIK3CA mutations in 2 of 10 patients in the AKT1 mutation hotspot known. further mutation in the MET gene, FGFR3, PTEN, ATM, NF1 and gnas detected in individual patients. Some of these mutations are present at high allele frequencies showed mutations in the germ line. 2 of 3 patients with a positive family history had PIK3CA mutations; one patient with a positive family history had a mutation in AKT1.

Hydrogen Peroxide Assay Kit
NAT1002	National Diagnostics	1KIT	EUR 308.4

ProtoBlock System
NAT1004	National Diagnostics	1KIT	EUR 122.4

450ML PBS 10X
NAT1006	National Diagnostics	450ML	EUR 96

4L PBS 10X
NAT1008	National Diagnostics	4L	EUR 238.8

ProtoGlow ECL 200ml Kit
NAT1010	National Diagnostics	EACH	EUR 354

ProtoGlow ECL 500ml Kit
NAT1012	National Diagnostics	EACH	EUR 627.6

100G Acrylamide
NAT1014	National Diagnostics	100G	EUR 120

500G Acrylamide
NAT1016	National Diagnostics	500G	EUR 261.6

1KG Acrylamide
NAT1018	National Diagnostics	1KG	EUR 412.8

25G AquaPor LE
NAT1020	National Diagnostics	25G	EUR 132

100G AquaPor LE GTAC
NAT1022	National Diagnostics	100G	EUR 250.8

500G AquaPor LE GTAC
NAT1024	National Diagnostics	500G	EUR 878.4

25G AquaPor ES
NAT1026	National Diagnostics	25G	EUR 152.4

100G AquaPor ES
NAT1028	National Diagnostics	100G	EUR 350.4

25G AquaPor LM
NAT1030	National Diagnostics	25G	EUR 288

100G AquaPor LM
NAT1032	National Diagnostics	100G	EUR 860.4

25G AquaPor HR
NAT1034	National Diagnostics	25G	EUR 236.4

100G AquaPor HR
NAT1036	National Diagnostics	100G	EUR 592.8

25G AquaPor 3:1
NAT1038	National Diagnostics	25G	EUR 250.8

100G AquaPor 3:1
NAT1040	National Diagnostics	100G	EUR 570

25G Bis (Methylene Bis-Acrylamide)
NAT1042	National Diagnostics	25G	EUR 100.8

25G DATD Ultrapure
NAT1044	National Diagnostics	25G	EUR 168

250G Glycine
NAT1046	National Diagnostics	250G	EUR 94.8

1KG Glycine Ultrapure
NAT1048	National Diagnostics	1KG	EUR 128.4

250G Tris
NAT1050	National Diagnostics	250G	EUR 102

1KG Tris Ultrapure
NAT1052	National Diagnostics	1KG	EUR 177.6

100G Tricine
NAT1054	National Diagnostics	100G	EUR 120

100G Ion Exchange Resin (mixed bed)
NAT1056	National Diagnostics	100G	EUR 96

25G Riboflavin
NAT1058	National Diagnostics	25G	EUR 96

25ML TEMED
NAT1060	National Diagnostics	25ML	EUR 99.6

25G Ammonium Persulfate
NAT1062	National Diagnostics	25G	EUR 96

100G Ammonium Persulfate
NAT1064	National Diagnostics	100G	EUR 118.8

1G Dithiothreitol (DTT)
NAT1066	National Diagnostics	1G	EUR 103.2

5G Dithiothreitol (DTT)
NAT1068	National Diagnostics	5G	EUR 183.6

50ML 2-Mercaptoethanol
NAT1070	National Diagnostics	50ML	EUR 112.8

100G SDS Ultrapure
NAT1072	National Diagnostics	100G	EUR 111.6

1KG SDS Ultrapure
NAT1074	National Diagnostics	1KG	EUR 457.2

250G Urea
NAT1076	National Diagnostics	250G	EUR 98.4

1KG Urea
NAT1078	National Diagnostics	1KG	EUR 138

450ML Glycerol Ultrapure
NAT1080	National Diagnostics	450ML	EUR 132

200ML Tween 20 Ultrapure
NAT1082	National Diagnostics	200ML	EUR 132

1L Tween 20
NAT1084	National Diagnostics	1L	EUR 169.2

200ML Formamide
NAT1086	National Diagnostics	200ML	EUR 111.6

500ML Boric Acid
NAT1088	National Diagnostics	500ML	EUR 103.2

100G EDTA
NAT1090	National Diagnostics	100G	EUR 94.8

500G EDTA
NAT1092	National Diagnostics	500G	EUR 177.6

GelDry Film 11 X 12 cm
NAT1094	National Diagnostics	PK50	EUR 100.8

25ML Formamide CE
NAT1096	National Diagnostics	25ML	Ask for price

25ML Glass Bond
NAT1098	National Diagnostics	25ML	EUR 158.4

450ML Glass Free
NAT1100	National Diagnostics	450ML	EUR 196.8

GelDry Film 22.5 X 22.5 cm
NAT1102	National Diagnostics	PK50	EUR 130.8

1L DEPC Treated Water
NAT1104	National Diagnostics	1L	EUR 120

Sterling Rapid Silver Stain Kit
NAT1106	National Diagnostics	1KIT	EUR 265.2

1L ProtoBlue Safe
NAT1108	National Diagnostics	1L	EUR 159.6

4L ProtoBlue Safe
NAT1110	National Diagnostics	4L	EUR 282

1L ProtoStain Blue
NAT1112	National Diagnostics	1L	EUR 164.4

25ML Nuclistain
NAT1114	National Diagnostics	25ML	EUR 128.4

450ML AcrylaGel 30%
NAT1116	National Diagnostics	450ML	EUR 128.4

1L AcrylaGel 30%
NAT1118	National Diagnostics	1L	EUR 177.6

450ML Bis-AcrylaGel 2%
NAT1120	National Diagnostics	450ML	EUR 98.4

1L Bis-AcrylaGel 2%
NAT1122	National Diagnostics	1L	EUR 111.6

450ML UreaGel 29:1 Concentrate
NAT1124	National Diagnostics	450ML	EUR 133.2

1L UreaGel 29:1 Concentrate
NAT1126	National Diagnostics	1L	EUR 183.6

UreaGel 29:1 System 1L Kit
NAT1128	National Diagnostics	EACH	EUR 171.6

UreaGel 29:1 System 2.2L Kit
NAT1130	National Diagnostics	EACH	EUR 253.2

450ML SequaGel UreaGel Concentrate
NAT1132	National Diagnostics	450ML	EUR 126

1L SequaGel UreaGel Concentrate
NAT1134	National Diagnostics	1L	EUR 160.8

SequaGel Sequencing System 1L Kit
NAT1136	National Diagnostics	1KIT	EUR 171.6

SequaGel Sequencing System 2.2L Kit
NAT1138	National Diagnostics	EACH	EUR 253.2

100ML SequaGel Buffer
NAT1140	National Diagnostics	100ML	EUR 80.4

200ML SequaGel UreaGel Buffer
NAT1142	National Diagnostics	200ML	EUR 84

450ML SequaGel UreaGel-6
NAT1144	National Diagnostics	450ML	EUR 115.2

1L SequaGel UreaGel-6
NAT1146	National Diagnostics	1L	EUR 151.2

450ML SequaGel UreaGel-8
NAT1148	National Diagnostics	450ML	EUR 115.2

1L SequaGel UreaGel-8
NAT1150	National Diagnostics	1L	EUR 151.2

450ML SequaGel UreaGel Diluent
NAT1152	National Diagnostics	450ML	EUR 90

1L SequaGel UreaGel Diluent
NAT1154	National Diagnostics	1L	EUR 103.2

90ML SequaGel Complete Buffer
NAT1156	National Diagnostics	90ML	EUR 79.2

200ML SequaGel UreaGel Complete Buffer
NAT1158	National Diagnostics	200ML	EUR 85.2

450ML SequaGel XR
NAT1160	National Diagnostics	450ML	EUR 126

1L SequaGel XR
NAT1162	National Diagnostics	1L	EUR 165.6

100ML SequaGel XR Concentrate
NAT1164	National Diagnostics	100ML	EUR 128.4

450ML SequaGel XR Concentrate
NAT1166	National Diagnostics	450ML	EUR 361.2

200ML SequaGel MD Monomer Solution
NAT1168	National Diagnostics	200ML	EUR 220.8

SequaGel MD SSCP Kit
NAT1170	National Diagnostics	1KIT	EUR 253.2

SequaGel MD Heteroduplex Kit
NAT1172	National Diagnostics	EACH	EUR 265.2

1.2ML SequaGel MD SSCP Stop Solution
NAT1174	National Diagnostics	1.2ML	EUR 85.2

450ML AccuGel 19:1 (30%)
NAT1176	National Diagnostics	450ML	EUR 126

1L AccuGel 19:1 (30%)
NAT1178	National Diagnostics	1L	EUR 165.6

450ML AccuGel 19:1 (40%)
NAT1180	National Diagnostics	450ML	EUR 130.8

1L AccuGel 19:1 (40%)
NAT1182	National Diagnostics	1L	EUR 168

450ML AccuGel 29:1 (30%)
NAT1184	National Diagnostics	450ML	EUR 126

1L AccuGel 29:1 (30%)
NAT1186	National Diagnostics	1L	EUR 165.6

450ML AccuGel 29:1 (40%)
NAT1188	National Diagnostics	450ML	EUR 130.8

1L AccuGel 29:1 (40%)
NAT1190	National Diagnostics	1L	EUR 168

1.2ML Triple Dye Loading Buffer (6X)
NAT1192	National Diagnostics	1.2ML	EUR 85.2

UreaGel Loading Buffer
NAT1194	National Diagnostics	10X1ML	EUR 222

1L TBE 10X
NAT1196	National Diagnostics	1L	EUR 98.4

4L TBE 10X
NAT1198	National Diagnostics	4L	EUR 145.2

1L TBE 5X
NAT1200	National Diagnostics	1L	EUR 92.4

4L TBE 5X
NAT1202	National Diagnostics	4L	EUR 111.6

25ML TE BUFFER 100X
NAT1204	National Diagnostics	25ML	EUR 98.4

25ML 10X CE Buffer
NAT1206	National Diagnostics	25ML	EUR 138

100ML 10X CE Buffer
NAT1208	National Diagnostics	100ML	EUR 196.8

450ML 20X Tris-MOPS SDS
NAT1210	National Diagnostics	450ML	EUR 130.8

450ML 20X Tris-MEPS SDS
NAT1212	National Diagnostics	450ML	EUR 130.8

1L Tris-Tricine-SDS PAGE Buffer (10X)
NAT1214	National Diagnostics	1L	EUR 217.2

1L Tris-Glycine-SDS PAGE Buffer (10X)
NAT1216	National Diagnostics	1L	EUR 105.6

4L Tris-Glycine-SDS PAGE Buffer (10X)
NAT1218	National Diagnostics	4L	EUR 148.8

1L TTE Glycerol Tolerant Buffer 20X
NAT1220	National Diagnostics	1L	EUR 160.8

1L TAE Buffer 50X
NAT1222	National Diagnostics	1L	EUR 148.8

1L SSC Buffer 20X
NAT1224	National Diagnostics	1L	EUR 98.4

4L SSC Buffer 20X
NAT1226	National Diagnostics	4L	EUR 174

100ML SDS Solution 20%
NAT1228	National Diagnostics	100ML	EUR 92.4

450ML SDS Solution 20%
NAT1230	National Diagnostics	450ML	EUR 138

1L Denaturation Solution
NAT1232	National Diagnostics	1L	EUR 102

1L Neutralization Solution
NAT1234	National Diagnostics	1L	EUR 102

50G Dextran Sulfate
NAT1236	National Diagnostics	50G	EUR 193.2

250G Dextran Sulfate
NAT1238	National Diagnostics	250G	EUR 524.4

1L Tris-Glycine Electroblotting Buffer 10X
NAT1240	National Diagnostics	1L	EUR 102

4L Tris-Glycine Electroblotting Buffer 10X
NAT1242	National Diagnostics	4L	EUR 145.2

1L TBS (10X) Tris Buffered Saline
NAT1244	National Diagnostics	1L	EUR 126

1L TBST (10X) Tris Buffered Saline w/Tween 20
NAT1246	National Diagnostics	1L	EUR 126

ProtoGel Sample Prep Kit
NAT1248	National Diagnostics	EACH	EUR 223.2

Protein Loading Buffer Blue 2X
NAT1250	National Diagnostics	10X1ML	EUR 105.6

Protein Loading Buffer 5X
NAT1252	National Diagnostics	10X1ML	EUR 151.2

50ML Protein Precipitation Kit
NAT1254	National Diagnostics	50ML	EUR 270

100ML ProtoLift Western Strip Buffer
NAT1256	National Diagnostics	100ML	EUR 121.2

450ML ProtoGel (30%)
NAT1258	National Diagnostics	450ML	EUR 136.8

1L ProtoGel (30%)
NAT1260	National Diagnostics	1L	EUR 187.2

450ML ProtoGel (40%)
NAT1262	National Diagnostics	450ML	EUR 157.2

1L ProtoGel (40%)
NAT1264	National Diagnostics	1L	EUR 204

450ML ProtoGel Resolving Buffer 4X
NAT1266	National Diagnostics	450ML	EUR 100.8

1L ProtoGel Resolving Buffer
NAT1268	National Diagnostics	1L	EUR 128.4

200ML ProtoGel Stacking Buffer
NAT1270	National Diagnostics	200ML	EUR 92.4

100ML ProtoGel Quick-Cast 12%
NAT1272	National Diagnostics	100ML	EUR 105.6

450ML ProtoGel Quick-Cast 12%
NAT1274	National Diagnostics	450ML	EUR 223.2

0.5ML Insite Markers
NAT1276	National Diagnostics	0.5ML	EUR 238.8

0.5ML ProtoMarkers
NAT1278	National Diagnostics	0.5ML	EUR 236.4

ProtoMetrics
NAT1280	National Diagnostics	EACH	EUR 242.4

1L EDTA 0.5M Solution
NAT1282	National Diagnostics	1L	EUR 183.6

1L Sodium Chloride 0.009 Solution
NAT1284	National Diagnostics	1L	EUR 140.4

1L Sodium Chloride 1M Solution
NAT1286	National Diagnostics	1L	EUR 140.4

1L Potassium Chloride 1M Solution
NAT1288	National Diagnostics	1L	EUR 140.4

1L Tris-HCL 1M pH 7.2
NAT1290	National Diagnostics	1L	EUR 126

1L Tris-HCL 1M pH 7.4
NAT1292	National Diagnostics	1L	EUR 126

1L Tris-HCL 1M pH 7.6
NAT1294	National Diagnostics	1L	EUR 126

Histosol
NAT1296	National Diagnostics	EACH	EUR 106.8

Histosol
NAT1298	National Diagnostics	EACH	EUR 270

Mirskys Fixative (ready-to-use)
NAT1300	National Diagnostics	1USGALLON	EUR 96

Mirskys Fixative (ready-to-use)
NAT1302	National Diagnostics	EACH	EUR 228

200ML Mirskys Fixative
NAT1304	National Diagnostics	200ML	EUR 92.4

2L Mirskys Fixative
NAT1306	National Diagnostics	2L	EUR 134.4

100ML Histomount
NAT1308	National Diagnostics	100ML	EUR 86.4

450ML Histomount
NAT1310	National Diagnostics	450ML	EUR 111.6

Calci-Clear
NAT1312	National Diagnostics	EACH	EUR 93.6

Calci-Clear
NAT1314	National Diagnostics	EACH	EUR 153.6

Calci-Clear
NAT1316	National Diagnostics	EACH	EUR 463.2

Calci-Clear Rapid
NAT1318	National Diagnostics	EACH	EUR 90

Calci-Clear Rapid
NAT1320	National Diagnostics	EACH	EUR 153.6

Calci-Clear Rapid
NAT1322	National Diagnostics	EACH	EUR 463.2

100ML Hydromount
NAT1324	National Diagnostics	100ML	EUR 110.4

Neutralin
NAT1326	National Diagnostics	5USGALLON	EUR 136.8

100ML Omnimount
NAT1328	National Diagnostics	100ML	EUR 93.6

Histo-Clear
NAT1330	National Diagnostics	1 US gallon	EUR 184

Histo-Clear
NAT1332	National Diagnostics	5 US gallons	EUR 699.6

Histo-Clear II
NAT1334	National Diagnostics	1 US gallon	EUR 151.2

Histo-Clear II
NAT1336	National Diagnostics	5 US gallons	EUR 457.2

1L HarrisHematoxylin
NAT1338	National Diagnostics	1L	EUR 147.6

100ML Eosin Solution
NAT1340	National Diagnostics	100ML	EUR 106.8

1L Scotts Tapwater
NAT1342	National Diagnostics	1L	EUR 90

25G Alcian Blue
NAT1344	National Diagnostics	25G	EUR 194.4

25G Biebrich Scarlet
NAT1346	National Diagnostics	25G	EUR 144

25G Fast Green FCF
NAT1348	National Diagnostics	25G	EUR 192

25G Basic Fuchsin
NAT1350	National Diagnostics	25G	EUR 352.8

25G Methylene Blue
NAT1352	National Diagnostics	25G	EUR 187.2

25G Amido Black 10B
NAT1354	National Diagnostics	25G	EUR 176.4

5G Bromocresol Green
NAT1356	National Diagnostics	5G	EUR 187.2

10G Bromophenol Blue
NAT1358	National Diagnostics	10G	EUR 169.2

10G Coomassie Blue R-250
NAT1360	National Diagnostics	10G	EUR 123.6

10G Coomassie Blue G-250
NAT1362	National Diagnostics	10G	EUR 177.6

10G Methyl Green
NAT1364	National Diagnostics	10G	EUR 211.2

5G Pyronin Y
NAT1366	National Diagnostics	5G	EUR 261.6

25G Xylene Cyanol FF
NAT1368	National Diagnostics	25G	EUR 231.6

4L Hydrofluor
NAT1370	National Diagnostics	4L	EUR 200.4

4L Liquiscint
NAT1372	National Diagnostics	4L	EUR 168

4L Betafluor
NAT1374	National Diagnostics	4L	EUR 158.4

4L Monofluor
NAT1376	National Diagnostics	4L	EUR 234

4L Filtron-X
NAT1378	National Diagnostics	4L	EUR 252

Oxosol C14 Oxidizer
NAT1380	National Diagnostics	EACH	EUR 322.8

1L Oxosol 306
NAT1382	National Diagnostics	1L	EUR 134.4

4L Oxosol 306
NAT1384	National Diagnostics	4L	EUR 279.6

One patient who later developed invasive ductal carcinoma in the contralateral breast ATM may have a germ line mutation. Our results confirm the hotspot mutations in PIK3CA and AKT1 gene in JP associated with a positive family history of breast cancer, although the mutation is not specific to JP.