Chapter 47: Colon and Rectum- Polyposis Syndromes (FAP) Flashcards

1
Q

What is another name for this condition?

A

Familial Polyposis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the characteristics?

A
  • Hundreds of adenomatous polyps within the rectum and colon that begin developing at puberty
  • all undiagnosed, untreated patients develop cancer by ages 40 to 50
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the inheritance pattern?

A

Autosomal dominant (i.e., 50% of offspring)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the genetic defect?

A

Adenomatous Polyposis Coli (APC) gene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the treatment?

A

Total proctocolectomy and ileostomy

Total colectomy and rectal mucosal removal (mucosal proctectomy) and ileoanal anastomosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

With FAP, what other tumor must be looked for?

A

Duodenal tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly