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Desmoid tümör ve rektum karsinomunun eşlik ettiği familyal adenomatöz polipozis: Olgu sunumu

Year 2010, Volume: 32 Issue: 4, 371 - 376, 23.12.2010

Abstract

Özet

Familiyal adenomatöz polipozis (FAP) gastrointestinal sistemde özellikle kolon ve rektumda çok sayıda adenomatöz poliplerin varlığı ile karakterize otozomal dominant geçiş gösteren bir sendromdur. Bu sendromda; adrenal adenomlar, osteomalar, desmoid tümörler gibi bening tümörler, tiroid ve pankreatik kanserler, hepaoblastomalar, santral sinir sistemi tümörleri ile diş anomalilerinin görülme olasılığı artmıştır. Burada 28 yaşında karın duvarında kitle şikayeti ile başvuran ve FAP zemininde gelişen rektum kanseri ve desmoid tümör tespit edilen hasta sunuldu.

Anahtar sözcükler: Desmoid tümör, familyal adenomatöz polipozis, rektum kanseri

 

Abstract

Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome, where polyps develop throughout the gastrointestinal tract, particularly in the colon and the rectum. FAP-related complications, for which medical attention is essential, are not rare and their estimated lifetime risk presumably exceeds 30%. Affected individuals can develop thyroid and pancreatic cancer, hepatoblastomas, CNS tumors (especially medulloblastomas), and various benign tumors such as adrenal adenomas, osteomas, desmoid tumors and dental abnormalities.A 28 year old patient who applied with a mass in abdominal wall and found to have rectum cancer and desmoid tumor in the background of FAP is presented in this case report.

Key words: Desmoid tumor, familial adenomatous polyposis, rectal carcinoma

References

  • Kadmon M. Preventive surgery for familial adenomatous polyposis coli. Chirurg 2005; 76: 1125-34.
  • Lal G, Gallinger S. Familial adenomatous polyposis.Semin Surg Oncol 2000;18:314-23.
  • Jerkic S, Rosewich H, Scharf JG, Perske C, Füzesi L, Wilichowski E, Gärtner J. Colorectal cancer in two pre-teenage siblings with familial adenomatous polyposis. Eur J Pediatr 2005; 164: 306-10.
  • Groen EJ, Roos A, Muntinghe FL, Enting RH, de Vries J, Kleibeuker JH, Witjes MJ, Links TP, van Beek AP. Extra-intestinal manifestations of familial adenomatous polyposis. Ann Surg Oncol 2008; 15: 2439-50.
  • Seow-Choen F. The management of desmoids in patients with familial adenomatous polyposis (FAP). Acta Chir Iugosl 2008; 55: 83-7.
  • Joyner DE, Trang SH, Aboulafia AJ, Damron TA, Randall RL. FAP-associated desmoid invasiveness correlates with in vitro resistance to doxorubicin. Fam Cancer 2009; 8: 569-80.
  • Terzi C, Füzün M. Kolorektal polipler ve polipozis sendromları. Sayek D, editör: Temel Cerrahi. Üçüncü Baskı. Ankara: Günes, 2004, 1234-42.
  • Debinski HS, Love S, Spigelman AD, Phillips RK. Colorectal polyp counts and cancer risk in familial adenomatous polyposis. Gastroenterology 1996; 110: 1028-30.
  • Tunca B, Menigatti M, Benatti P, Egeli U, Cecener G, Pedroni M, Scarselli A, Borghi F, Sala E, Yilmazlar T, Zorluoglu A, Yerci O, de Leon MP. Investigation of APC mutations in a Turkish familial adenomatous polyposis family by heterodublex analysis. Dis Colon Rectum 2005; 48: 567-71.
  • Bulow S, Alm T, Fausa O, Hultcrantz R, Jarvinen H, Vasen H. Duodenal adenomatosis in familial adenomatous polyposis. DAF Project Group. Int J Colorectal Dis 1995; 10: 43-6.
  • Kayaalp C, Işik S, Akbaba S, Neşşar G, Oymaci E, Seven C. Restorative proctocolectomy for familial adenomatous polyposis coexisting with coloectal canser. Turk J Gastroenterol 2005; 16: 44-7.
  • Fazio VW, Ziv Y, Church JM, Oakley JR, Lavery IC, Milsom JW, Schroeder TK. Ileal pouch-anal anastomoses complications and function in 1005 patients. Ann Surg 1995; 222: 120-7.
  • de Bree E, Keus R, Melissas J, Tsiftsis D, van Coevorden F. Desmoid tumors: need for an individualized approach. Expert Rev Anticancer Ther 2009; 9: 525-35.
  • Rüdiger HA, Noan SY, N M, Powell GJ, Coong PF. Radiation therapy in the treatment of desmoid tumours reduces surgical indications. Eur J Surg Oncol 2010; 36: 84-8.
  • Kourda N, Ben Slama S, Mrabet N, Sayari S, Zouache A, Ben Jilani SB, Zermani R. Abdominal desmoid tumor: pathologic and therapeutic concepts. Tunis Med 2008; 86: 916-20.
  • Montaiglani L, Duverger V. Desmoid tumors. J Chir 2008 ; 145: 20-6.
  • Huang K, Fu H, Shi YO, Zhou Y, Du CY. Prognostic factors for extraabdominal wall desmoid: A 20-year experience at a single intitution. J Surg Oncol 2009; 100: 563-9.
  • Roeder F, Timke C, Oertel S, Hensley FW, Bischof M, Muenter MW, Weitz J, Buchler MW, Lehner B, Debus J, Krempien R. İntraoperative electron radiotherapy fort he management of agressive fibromatosis. Int J Radiat Oncol Biol Phys 2010; 76: 1154-60.

Desmoid tümör ve rektum karsinomunun eşlik ettiği familyal adenomatöz polipozis: Olgu sunumu

Year 2010, Volume: 32 Issue: 4, 371 - 376, 23.12.2010

Abstract

Familiyal adenomatöz polipozis (FAP) gastrointestinal sistemde özellikle kolon ve rektumda çok sayıda adenomatöz poliplerin varlığı ile karakterize otozomal dominant geçiş gösteren bir sendromdur. Bu sendromda; adrenal adenomlar, osteomalar, desmoid tümörler gibi bening tümörler, tiroid ve pankreatik kanserler, hepaoblastomalar, santral sinir sistemi tümörleri ile diş anomalilerinin görülme olasılığı artmıştır. Burada 28 yaşında karın duvarında kitle şikayeti ile başvuran ve FAP zemininde gelişen rektum kanseri ve desmoid tümör tespit edilen hasta sunuldu

References

  • Kadmon M. Preventive surgery for familial adenomatous polyposis coli. Chirurg 2005; 76: 1125-34.
  • Lal G, Gallinger S. Familial adenomatous polyposis.Semin Surg Oncol 2000;18:314-23.
  • Jerkic S, Rosewich H, Scharf JG, Perske C, Füzesi L, Wilichowski E, Gärtner J. Colorectal cancer in two pre-teenage siblings with familial adenomatous polyposis. Eur J Pediatr 2005; 164: 306-10.
  • Groen EJ, Roos A, Muntinghe FL, Enting RH, de Vries J, Kleibeuker JH, Witjes MJ, Links TP, van Beek AP. Extra-intestinal manifestations of familial adenomatous polyposis. Ann Surg Oncol 2008; 15: 2439-50.
  • Seow-Choen F. The management of desmoids in patients with familial adenomatous polyposis (FAP). Acta Chir Iugosl 2008; 55: 83-7.
  • Joyner DE, Trang SH, Aboulafia AJ, Damron TA, Randall RL. FAP-associated desmoid invasiveness correlates with in vitro resistance to doxorubicin. Fam Cancer 2009; 8: 569-80.
  • Terzi C, Füzün M. Kolorektal polipler ve polipozis sendromları. Sayek D, editör: Temel Cerrahi. Üçüncü Baskı. Ankara: Günes, 2004, 1234-42.
  • Debinski HS, Love S, Spigelman AD, Phillips RK. Colorectal polyp counts and cancer risk in familial adenomatous polyposis. Gastroenterology 1996; 110: 1028-30.
  • Tunca B, Menigatti M, Benatti P, Egeli U, Cecener G, Pedroni M, Scarselli A, Borghi F, Sala E, Yilmazlar T, Zorluoglu A, Yerci O, de Leon MP. Investigation of APC mutations in a Turkish familial adenomatous polyposis family by heterodublex analysis. Dis Colon Rectum 2005; 48: 567-71.
  • Bulow S, Alm T, Fausa O, Hultcrantz R, Jarvinen H, Vasen H. Duodenal adenomatosis in familial adenomatous polyposis. DAF Project Group. Int J Colorectal Dis 1995; 10: 43-6.
  • Kayaalp C, Işik S, Akbaba S, Neşşar G, Oymaci E, Seven C. Restorative proctocolectomy for familial adenomatous polyposis coexisting with coloectal canser. Turk J Gastroenterol 2005; 16: 44-7.
  • Fazio VW, Ziv Y, Church JM, Oakley JR, Lavery IC, Milsom JW, Schroeder TK. Ileal pouch-anal anastomoses complications and function in 1005 patients. Ann Surg 1995; 222: 120-7.
  • de Bree E, Keus R, Melissas J, Tsiftsis D, van Coevorden F. Desmoid tumors: need for an individualized approach. Expert Rev Anticancer Ther 2009; 9: 525-35.
  • Rüdiger HA, Noan SY, N M, Powell GJ, Coong PF. Radiation therapy in the treatment of desmoid tumours reduces surgical indications. Eur J Surg Oncol 2010; 36: 84-8.
  • Kourda N, Ben Slama S, Mrabet N, Sayari S, Zouache A, Ben Jilani SB, Zermani R. Abdominal desmoid tumor: pathologic and therapeutic concepts. Tunis Med 2008; 86: 916-20.
  • Montaiglani L, Duverger V. Desmoid tumors. J Chir 2008 ; 145: 20-6.
  • Huang K, Fu H, Shi YO, Zhou Y, Du CY. Prognostic factors for extraabdominal wall desmoid: A 20-year experience at a single intitution. J Surg Oncol 2009; 100: 563-9.
  • Roeder F, Timke C, Oertel S, Hensley FW, Bischof M, Muenter MW, Weitz J, Buchler MW, Lehner B, Debus J, Krempien R. İntraoperative electron radiotherapy fort he management of agressive fibromatosis. Int J Radiat Oncol Biol Phys 2010; 76: 1154-60.
There are 18 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Şükrü Taş

Mustafa Duman

Ali Atıcı

Feza Ekiz

Tahsin Dalgıç

İlter Özer

Erdal Bostancı

Musa Akoğlu

Publication Date December 23, 2010
Published in Issue Year 2010Volume: 32 Issue: 4

Cite

AMA Taş Ş, Duman M, Atıcı A, Ekiz F, Dalgıç T, Özer İ, Bostancı E, Akoğlu M. Desmoid tümör ve rektum karsinomunun eşlik ettiği familyal adenomatöz polipozis: Olgu sunumu. CMJ. December 2010;32(4):371-376.