Familial Adenomatous Polyposis Associated with Early Gastric Cancer and Early Duodenal Cancer, Report of a Case Ryuichi Kamoi 1 , Mitsuo Iida 1 , Fumitoshi Kuroki 1 , Tsukasa Tsunoda 2 , Michio Shimizu 3 1Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School 2Department of Surgery (Gastroenterology), Kawasaki Medical School 3Department of Pathology, Kawasaki Medical School Keyword: 家族性大腸腺腫症 , 早期胃癌 , 早期十二指腸癌 pp.631-641
Published Date 1997/3/25
DOI https://doi.org/10.11477/mf.1403105109
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 A 41-year-old man was referred to our hospital because of anemia and anal bleeding. The diagnosis of adenomatosis coli was made on the basis the findings of barium enema study. Further examinations revealed complications of Ⅱc-type early gastric cancer, gastric adenomas, early duodenal cancer, duodenal adenomas, rectal cancer, osteoma in the submandibular bone and lipoma in the abdominal wall. Total proctocolectomy and ileostomy, 3/4 partial gastrectomy, surgical polypectomy of the duodenal polyp, and enucleation of lipoma in the abdominal wall were performed. It is considered that this case is the first one of familial adenomatous polyposis associated with both gastric cancer and duodenal cancer in Japan. In the present report, the authors reviewed Japanese literature cases of familial adenomatous polyposis complicated by gastric and duodenal cancer, and discussed their clinical features.

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