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KMID : 0376219960320010101
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Chonnam Medical Journal
1996 Volume.32 No. 1 p.101 ~ p.106
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A Case Report of Familial Adenomatous Polyposis with Rectal Adenocarcinoma
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Shin Geun-Wook
Park Seung-Min
Lee Jae-Woo
Ji Hwang-Yong
Yang Je-Bum
Ann Je-Su
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Abstract
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Familial adenomatous polyposis is characterized by an autosomal dominant mode of inheritance. In this disease, the entire colorectal mucosa is covered by hundred (often innumerable) polyps of various dimensions. In addition, xtracolonic
abnormalities, mandibular, osteomas, soft tissue tumor and abnormal dentition, have been reported. The diagnosis is ade by endoscopy and/or contrast barium enema. Biposy is essential to verify that the lesions are adenomatous. Because of the almost progression to malignancy, total proctocolectomy and ileostomy definitely eliminate the possibility of colorectal carcinoma. Total abdominal colectomy with ileoproctostomy or rectal mucosectomy and ileoanal pull-through have been alternative approaches. We experienced one case of femilial adenomatous polyposis with rectal carcinoma along with a review of literature.
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KEYWORD
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