Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?

Attenuated familial adenomatous polyposis (AFAP) is a rare but well-established cause of colorectal carcinoma and multiple polyps. The present paper describes a case of a woman diagnosed with colorectal cancer at 34 years of age and subsequently found to have AFAP by genetic testing. During infancy,...

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Main Authors: Melanie D Beaton, Brian Taylor, David Driman, Peter Ainsworth, Paul C Adams
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2008/780204
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author Melanie D Beaton
Brian Taylor
David Driman
Peter Ainsworth
Paul C Adams
author_facet Melanie D Beaton
Brian Taylor
David Driman
Peter Ainsworth
Paul C Adams
author_sort Melanie D Beaton
collection DOAJ
description Attenuated familial adenomatous polyposis (AFAP) is a rare but well-established cause of colorectal carcinoma and multiple polyps. The present paper describes a case of a woman diagnosed with colorectal cancer at 34 years of age and subsequently found to have AFAP by genetic testing. During infancy, the patient underwent surgical correction of esophageal atresia with colonic interposition. While she had developed adenomatous polyps in her native cecum, there was no evidence of polyps or cancer in the segment of large intestine interposed between her upper esophagus and stomach. Therefore, various environmental differences between the upper and lower gastrointestinal tract may play a role in the expression of AFAP phenotype.
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series Canadian Journal of Gastroenterology
spelling doaj-art-cc7161d61c40492693b47bda9bd723ef2025-02-03T01:22:06ZengWileyCanadian Journal of Gastroenterology0835-79002008-01-0122763463610.1155/2008/780204Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?Melanie D Beaton0Brian Taylor1David Driman2Peter Ainsworth3Paul C Adams4Department of Medicine, Division of Gastroenterology, Molecular Diagnostics Laboratory, London Health Sciences Centre, University of Western Ontario, London, Ontario, CanadaDepartment of Surgery, Division of General Surgery, Molecular Diagnostics Laboratory, London Health Sciences Centre, University of Western Ontario, London, Ontario, CanadaDepartment of Pathology, Molecular Diagnostics Laboratory, London Health Sciences Centre, University of Western Ontario, London, Ontario, CanadaDepartment of Biochemistry, Molecular Diagnostics Laboratory, London Health Sciences Centre, University of Western Ontario, London, Ontario, CanadaDepartment of Medicine, Division of Gastroenterology, Molecular Diagnostics Laboratory, London Health Sciences Centre, University of Western Ontario, London, Ontario, CanadaAttenuated familial adenomatous polyposis (AFAP) is a rare but well-established cause of colorectal carcinoma and multiple polyps. The present paper describes a case of a woman diagnosed with colorectal cancer at 34 years of age and subsequently found to have AFAP by genetic testing. During infancy, the patient underwent surgical correction of esophageal atresia with colonic interposition. While she had developed adenomatous polyps in her native cecum, there was no evidence of polyps or cancer in the segment of large intestine interposed between her upper esophagus and stomach. Therefore, various environmental differences between the upper and lower gastrointestinal tract may play a role in the expression of AFAP phenotype.http://dx.doi.org/10.1155/2008/780204
spellingShingle Melanie D Beaton
Brian Taylor
David Driman
Peter Ainsworth
Paul C Adams
Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?
Canadian Journal of Gastroenterology
title Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?
title_full Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?
title_fullStr Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?
title_full_unstemmed Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?
title_short Colonic Interposition in a Woman with Attenuated Familial Adenomatous Polyposis: Does the Location of the Colon Affect Polyp Formation?
title_sort colonic interposition in a woman with attenuated familial adenomatous polyposis does the location of the colon affect polyp formation
url http://dx.doi.org/10.1155/2008/780204
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