A CASE OF FAMILIAL ADENOMATOUS POLYPOSIS COMPLICATED BY THYROID-CARCINOMA, CARCINOMA OF THE AMPULLA OF VATER AND ADRENOCORTICAL ADENOMA

被引：11

作者：

ONO, C

IWAMA, T

MISHIMA, Y

机构：

[1] The Research Center for Polyposis and Intestinal Disease, the Second Department of Surgery, Tokyo Medical and Dental University, Tokyo, 113, 1-5-45 Yushima, Bunkyo-ku

来源：

JAPANESE JOURNAL OF SURGERY | 1991年 / 21卷 / 02期

关键词：

FAMILIAL ADENOMATOUS POLYPOSIS; CARCINOMA OF THE AMPULLA OF VATER; THYROID CARCINOMA; ADRENOCORTICAL ADENOMA;

D O I：

10.1007/BF02470915

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A 63 year old female with familial adenomatous polyposis (FAP) complicated by carcinoma of the thyroid and ampulla of Vater and a nonfunctioning adrenocortical adenoma is reported herein. We reviewed 23 cases of duodenal or periampullary carcinoma, 10 cases of thyroid carcinoma and 4 cases of adrenal neoplasm presented in the Japanese literature. From studying these cases, we identified that FAP patients had a high risk of developing periampullary carcinoma and consequently, it is very important to periodically examine the ampulla of Vater. Thyroid carcinomas in patients with FAP were well differentiated carcinomas and occurred earlier than in the general population. The use of medical imaging equipment with mean that insidious abdominal tumors in cases of FAP will be detected more frequently in the future and as patients with FAP have a high risk of developing malignancies, surgery should be indicated for incidentally found adrenal tumors.

引用

页码：234 / 240

页数：7

共 35 条

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