| Theme | Gastrointestinal polyposis -- progress in the diagnosis and treatment | |
|---|---|---|
| Title | Malignant lesions outside the colon in familial adenomatous polyposis | |
| Publish Date | 2016/05 | |
| Author | Takeshi Nakajima | Endoscopy Division, National Cancer Center Hospital |
| Author | Satoru Nonaka | Endoscopy Division, National Cancer Center Hospital |
| Author | Taku Sakamoto | Endoscopy Division, National Cancer Center Hospital |
| Author | Minori Matsumoto | Endoscopy Division, National Cancer Center Hospital |
| Author | Shigeki Sekine | Division of Pathology and Clinical Laboratories, National Cancer Center Hospital |
| Author | Takeo Fukagawa | 3Gastric surgery division, National Cancer Center Hospital |
| Author | Ichiro Oda | Endoscopy Division, National Cancer Center Hospital |
| Author | Takahisa Matsuda | Endoscopy Division, National Cancer Center Hospital |
| Author | Yutaka Saito | Endoscopy Division, National Cancer Center Hospital |
| [ Summary ] | In familial adenomatous polyposis (FAP) patients, apart from colorectal lesions, lesions outside the colon, such as desmoid tumors in the stomach, duodenum (papilla, non-papilla), and small intestine are also important. After being diagnosed with FAP, a patient should undergo not only colonoscopy but also upper gastrointestinal endoscopy, abdominal computed tomography examination, and ultrasound examination of the abdomen and neck. The Spigelman classification and Church classification are beneficial for the surveillance of non-papillary duodenal tumors and desmoid tumors, respectively. Multidisciplinary clinical decision and treatment are important for surveillance in FAP patients. | |