{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:30:52Z","timestamp":1787682652195,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2011,4,27]],"date-time":"2011-04-27T00:00:00Z","timestamp":1303862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pathology International"],"published-print":{"date-parts":[[2011,6]]},"abstract":"<jats:p>Peutz\u2010Jegher's syndrome (PJS) involves multiple organ systems and the development of hamartomatous, metaplastic, or neoplastic lesions of different cell lineages. Among them, glandular lesions are the most common, but their properties are obscure. We report here a 53\u2010year\u2010old woman with PJS who developed multiple hamartomatous polyps in the jejunum and mucinous glandular lesions in multiple organ systems: glandular metaplasia in the urinary bladder; lobular endocervical glandular hyperplasia in the uterine cervix; mucinous metaplasia in the right fallopian tube; mucinous adenoma in the left ovary. Histological and immunohistochemical analyses disclosed that all of the intestinal and extra\u2010intestinal lesions were associated with pyloric gland metaplasia\/differentiation across the organ systems. In the general population, the organs described above rarely or infrequently show pyloric gland phenotype, to say nothing of <jats:italic>trans<\/jats:italic>\u2010organ involvement. It is strongly suggested that commitment to pyloric gland metaplasia\/differentiation is closely associated with PJS.<\/jats:p>","DOI":"10.1111\/j.1440-1827.2011.02670.x","type":"journal-article","created":{"date-parts":[[2011,4,27]],"date-time":"2011-04-27T06:58:32Z","timestamp":1303887512000},"page":"369-372","source":"Crossref","is-referenced-by-count":35,"title":["Pyloric gland metaplasia\/differentiation in multiple organ systems in a patient with Peutz\u2013Jegher's syndrome"],"prefix":"10.1111","volume":"61","author":[{"given":"Noriko","family":"Kato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masato","family":"Sugawara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiko","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Hosoya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teiichi","family":"Motoyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,4,27]]},"reference":[{"key":"e_1_2_5_2_2","first-page":"168","volume-title":"World Health Organization Classification of Tumour of the Digestive System","author":"Offerhaus GJA","year":"2010"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/9780470755983"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2559.1999.00681.x"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/path.1711710105"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1827.1997.tb04517.x"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.2353\/ajpath.2010.090519"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)43148-X"},{"key":"e_1_2_5_9_2","doi-asserted-by":"crossref","DOI":"10.55418\/1881041883","volume-title":"Atlas of Tumor Pathology. 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