{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:55:37Z","timestamp":1753876537709,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T00:00:00Z","timestamp":1624320000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Cowden syndrome is a rare autosomal dominant disorder that is characterized by multiple hamartomatous neoplasms in a variety of tissues and is associated with germline mutations in the PTEN gene. Cowden syndrome does not have increased risk of gastric malignancy; however, complications of benign neoplasm can occur. The authors report a case of a patient with Cowden Syndrome and with gastric polyps that caused severe morbidity and a surgical approach was indicated. An antrectomy with troncular vagotomy was performed with a Billroth I reconstruction. In this case, this was of paramount importance so the duodenum can be revisited.<\/jats:p>","DOI":"10.1093\/jscr\/rjab258","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T19:55:50Z","timestamp":1622145350000},"source":"Crossref","is-referenced-by-count":2,"title":["Surgical approach to gastric polyposis in Cowen syndrome\u2014case report"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3894-2234","authenticated-orcid":false,"given":"Teresa Freitas","family":"Correia","sequence":"first","affiliation":[{"name":"General Surgery, Department of Surgery, Centro Hospitalar e Universit\u00e1rio do Porto (CHUP), Oporto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabel","family":"Mesquita","sequence":"additional","affiliation":[{"name":"General Surgery, Department of Surgery, Centro Hospitalar e Universit\u00e1rio do Porto (CHUP), Oporto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e1rio","family":"Marcos","sequence":"additional","affiliation":[{"name":"General Surgery, Department of Surgery, Centro Hospitalar e Universit\u00e1rio do Porto (CHUP), Oporto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Nogueira","sequence":"additional","affiliation":[{"name":"General Surgery, Department of Surgery, Centro Hospitalar e Universit\u00e1rio do Porto (CHUP), Oporto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Santos","sequence":"additional","affiliation":[{"name":"General Surgery, Department of Surgery, Centro Hospitalar e Universit\u00e1rio do Porto (CHUP), Oporto, 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15","journal-title":"Clin Cancer Res"},{"first-page":"1177","volume-title":"Pediatric Surgery, Chapter 93","author":"Lelli","key":"2021070811450152600_ref4"},{"key":"2021070811450152600_ref5","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1136\/jmedgenet-2012-101339","article-title":"French Cowden disease network: high cumulative risks of cancer in patients with PTEN hamartoma tumour syndrome","volume":"50","author":"Bubien","year":"2013","journal-title":"J Med Genet"},{"key":"2021070811450152600_ref6","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1053\/j.gastro.2010.06.061","article-title":"Frequent gastrointestinal polyps and colorectal adenocarcinomas in a prospective series of PTEN mutation carriers","volume":"139","author":"Heald","year":"2010","journal-title":"Gastroenterology"},{"key":"2021070811450152600_ref7","first-page":"70","article-title":"Cowden\u2019s disease: a case report and review of the literature","volume":"16","year":"2003","journal-title":"Ann Gastroenterol"},{"key":"2021070811450152600_ref8","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/PAP.0000000000000173","article-title":"The role of the surgical pathologist in the diagnosis of gastrointestinal polyposis syndromes","volume":"25","author":"Rosty","year":"2018","journal-title":"Adv Anat Pathol"},{"key":"2021070811450152600_ref9","first-page":"1038","article-title":"Diffuse esophageal glycogenic acanthosis: an endoscopic marker of Cowden\u2019s disease","volume":"92","author":"Kay","year":"1997","journal-title":"Am J Gastroenterol"}],"container-title":["Journal of Surgical Case 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