Early Periampullary Carcinoma and Advanced Sigmoid Colon Cancer Associated with Familial Adenomatous Polyposis (Gardner's Syndrome), Report of a Case Tadahiko Masaki 1 , Tetsuichiro Muto 1 1The First Department of Surgery, Faculty of Medicine, The University of Tokyo Keyword: FAP , Gardner症候群 , 傍乳頭部腫瘍 , periampullary carcinoma , 胃・十二指腸病変 pp.617-622
Published Date 1997/3/25
DOI https://doi.org/10.11477/mf.1403105107
  • Abstract
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 A 40-year-old woman complained of constipation, anorexia and abdominal tumour, and was diagnosed as having an early periampullary carcinoma and advanced sigmoid colon cancer associated with familial adenomatous polyposis (Gardner's syndrome). Local excision of the periampullary tumour and sigmoidectomy were performed. The patient's elder brother had also suffered from metachronous rectal cancer and advanced periampullary carcinoma associated with this syndrome, suggesting the possible familial segregation of periampullary neoplasia. Endoscopic close surveillance of the periampullary region is mandatory for early detection and less invasive treatment of periampullary neoplasms.

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