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Familial Adenomatosis Coli Syndrome with a Huge Intraabdominal Desmoid Tumor, Report of a Case T. Kinoshita 1 1Department of Surgery, Sada Hospital pp.667-672
Published Date 1984/6/25
DOI https://doi.org/10.11477/mf.1403107052
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 A 35 year-old man visited our hospital in January 1983 with nausea and vomiting. Partial sigmoidectomy was performed at another hospital 10 years ago because of colonic polyposis. On physical examination a tumor as large as human head was palpable on the abdomen. Emergency operation was made with a diagnosis of ileus and intestinal necrosis. At surgery a huge mesenteric tumor was found and only biopsy was done. Histological diagnosis was desmoid tumor. Barium enema study revealed multiple adenomas of the colon. The diagnosis was familial adenomatosis coli with a desmoid tumor. The second operation consisted with resection of necrotizing duodenum compressed by the tumor and resection of the tumor. The patient did well postoperatively. Resected tumor was 23×22×6 cm, weighed 3 kg. There were 14 cases of familial adenomatosis with desmoid tumor in Japan except this one. The tumor size of this patient was the biggest in these cases.


Copyright © 1984, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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