A Case of Familial Adenomatous Polyposis (FAP) with A Large Sentinel Polyp.
- Author:
Dae Ghon KIM
;
Byung Hyun RHEE
;
Seong Hee LIM
;
Wan Hee YOO
;
Jae Yong KWAK
;
Deuk Su AHN
;
Jong Hun KIM
;
Dong Geun LEE
- Publication Type:Case Report
- Keywords:
Familial adenomatous polyposis (FAP);
Sentinel polyp
- MeSH:
Adenomatous Polyposis Coli*;
Colectomy;
Colon;
Colon, Sigmoid;
Colonic Neoplasms;
Colonic Pouches;
Diarrhea;
Early Diagnosis;
Gastrointestinal Hemorrhage;
Humans;
Incidence;
Polyps*;
Rectum
- From:Korean Journal of Gastrointestinal Endoscopy
1995;15(4):775-782
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Familial adenomatous polyposis(FAP) is a rare hereditary disorder characterized by the development of hundreds to thounds polyps throughout the colon and rectum. Moreover, several extracolonic manifestations are seen. Recently, this disease is recognized as a adenomatous polyposis syndrome which can involve the entire astrointestinal tract. Several reports have demonstrated a high incidence of gastroduodenal polyps in patients with familial adenomatous polyposis. These colon polyps can be eventually developed as colon cancer, if not be treated. So early diagnosis is needed and prophylactic surgery should be erformed. We experienced a case of familial adenomatous polyposis with a large sentinel polyp on the sigmoid colon, presenting hematochezia and mucoid diarrhea. He was early treated before progression to carcinoma by total colectomy, rectal mucosectomy and J pouch ileoanal anastomosis.
