Japanese

A Case Report of Gardner's Syndrome Associated with Rectal Cancer I. Tatsuno 1 , M. Mai 2 , K. Watanabe 3 , I. Hikishima 4 1Dept. of Radiology, National Kanazawa Hospital 2Dept. of Surgery, National Kanazawa Hospital 3Dept. of Pathology, National Kanazawa Hospital 4Hikishima Hospital pp.801-806
Published Date 1973/6/25
DOI https://doi.org/10.11477/mf.1403108543
  • Abstract
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 The clinical features of Gardner's syndrome are recognized as familial polyposis, osteomas, soft tissue tumors and dental anomalies.

 We have found one patient of Gardner's syndrome with rectal cancer.

 A 35-year-old man was admitted to our hospital on November 26, 1971, with chief complaint of lower abdominal tumor. Detailed inquiry into his past history revealed that he had noticed a hard swelling on the occipital area since the age of five as well as another on the forehead since the age of 16 after contusion. In 1966, fibromas on the frontal chest and the right back were surgically removed. In May 1969, he was operated on for rectal cancer. Successively multiple polyposis of the sigmoid colon and rectum was found. In January 1971, a nut-sized tumor in the lower abdomen was noticed. It gradually grew up.

 Physical examination showed multiple hard swelling with the size of a finger-tip on the head, revealing also a hen-egg-sized, fixed elastic mass on the incisional scar in the lower abdomen. Roentgenograms of the skull and skeleton revealed osteomas involving the skull, angle of the jaw, right fibula and left tibia, disclosing also impacted teeth of both lower canines.

 Roentgenograms and fiberscopic examination of the stomach revealed diffuse polyposis. Barium enema through the artificial anus and small bowel series showed nothing abnormal.

 Removal of the lower abdominal tumor was performed. It was 5×4 cm in size and was located between the peritoneum and musculus rectus abdominus. The specimen showed a desmoid tumor.

 Hereditary evidence and chromosomal aberration were not noticed.


Copyright © 1973, 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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