HomeAnswersMedical Gastroenterologytubular adenomaDoes tubular adenoma occur in children?

My daughter has food allergies, mesenteric adenitis, and tubular adenoma. Please help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At May 9, 2021
Reviewed AtAugust 31, 2023

Patient's Query

Hi doctor,

My daughter is an 11-year-old female and has a history of multiple food sensitivities, bloating, stool with pieces of unprocessed food with elevated serum serotonin, and three episodes of mesenteric adenitis. I have sent you the endoscopy and colonoscopy biopsy results. Can you please help me with this?

Hello,

Welcome to icliniq.com.

I reviewed all the biopsy reports (attachment removed to protect the patient's identity), the reports are all normal except for one rectal polyp. Also, there are no findings suggestive of any allergic disorders, especially food allergies or eosinophilic enteritis. These biopsies have no clues for loose stools. In my opinion, there are no significant abnormalities in these reports to explain her complaints.

If you have any query get back to me with her complete blood tests and detailed history.

Thank you very much.

Patient's Query

Hi doctor,

Thank you for the reply. It is said that she has mucosa focal crypt distortion and tubular adenoma with low-grade dysplasia. What does it mean? As far as I know, tubular type is rare in children and occurs mostly in older adults. Paired with dysplasia makes me more concerned. What are your thoughts? She has multi-system problems, including acute loss of vision with no definite diagnosis. Before 9 months, we were referred to one of the topmost hospitals in the country. What I feel is that she has something rare and difficult to diagnose. If you see any chance of this being a particular disease, that would be a good clue to us to look into it. Thank you.

Hi,

Welcome back to icliniq.com.

I understand your concern about your child. These are my suggestions about your query:

  1. As seen in colon biopsy, this crypt distortion is in a tiny part and is focal and the rest of all biopsies have no such findings, which makes it clinically insignificant.
  2. I agree with you that this Adenoma with low-grade dysplasia is rare in children, but it can occur. In that case, children usually have multiple large polyps in the whole of the colon, which is not seen in her case.
  3. And this rectal polyp is also tiny. This dysplasia looks to be over-reported, and it will need a review from an expert GI (gastrointestinal) histopathologist.
  4. It is good that you are referred to one of the best GI centers, and it may help out in her diagnosis, and they will surely review her adenoma report.
  5. She may be suffering from some rare syndrome, but as of now, she has no significant clue for a diagnosis.

I hope that it answers your question.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mian Shah Yousaf
Dr. Mian Shah Yousaf

Medical Gastroenterology

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