A Case of Resected Giant Gastric Adenoma Appeared 12 Years after an Excision of Total Colon and Rectum for Familial Adenomatous Coli.

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  • 家族性大腸腺腫症に大腸全摘術後12年を経て出現した巨大胃腺腫の1例

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Abstract

We have experienced a case of resected giant adenoma of the stomach which showed a rapidly enlarging tendency 12 years after an excision of total colon and rectum for familial adenomatous coli. The patient was a 45-year-old woman. In 1985, 12 years earlier, she had undergone an excision of total colon and rectum for familial adenomatous coli with cancer of the sigmoid colon, when multiple gastric adenomas have already been detected. Thereafter, one of these gastric adenomas started to enlarge abruptly, and was treated by surgical excision. In this patient, a possibility of cancer was ruled out by an intraoperative frozen section diagnosis. Long-term observation of her clinical course, however, would be mandatory, because the frequency of cancer change of gastrointestinal lesions associated with familial adenomatous coli is not low.

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