Columnar cuff cancer after restorative proctocolectomy for familial adenomatous polyposis

Details

Serval ID
serval:BIB_2BACAE326028
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Columnar cuff cancer after restorative proctocolectomy for familial adenomatous polyposis
Journal
Gut
Author(s)
Vuilleumier  H., Halkic  N., Ksontini  R., Gillet  M.
ISSN
0017-5749 (Print)
Publication state
Published
Issued date
2000
Volume
47
Number
5
Pages
732-734
Notes
DA - 20001128
LA - eng
PT - Case Reports
PT - Journal Article
SB - AIM
SB - IM
Abstract
AIMS: Restorative proctocolectomy with ileoanal anastomosis is one of the treatments of choice for patients suffering from familial adenomatous polyposis (FAP). However, any residual rectal mucosa left behind after mucosectomy is at risk for the development of neoplasia. CASE REPORT: A 31 year old male patient with FAP underwent restorative proctocolectomy with a pelvic ileal pouch-anal anastomosis. Seven years later he presented with right inguinal and perianal pain. A diagnosis of invasive columnar cuff carcinoma was made. DISCUSSION: Islets of columnar epithelium may be left behind after restorative proctocolectomy, exposing the patient to later malignant change. This risk must be emphasised and prevented by regular surveillance of the anastomosis
Keywords
Adenocarcinoma/etiology/Adenomatous Polyposis Coli/complications/surgery/Adult/Aftercare/Fatal Outcome/Humans/Intestinal Mucosa/Male/Postoperative Complications/Proctocolectomy,Restorative/methods/Rectal Neoplasms
Pubmed
Web of science
Create date
18/02/2008 13:08
Last modification date
20/08/2019 13:11
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