welcome to oneFAPvoice
- a positively charged Familial Adenomatous Polyposis community.- join today!
- login
A Case of FAP Who Underwent Mucosectomy for Intramucosal Cancer that Repeatedly Developed in the Residual Rectal Mucosa After Stapled Ileal-Pouch Anal Anastomosis
source: Gan to kagaku ryoho. Cancer & chemotherapy
year: 2015
authors: Tajima Y, Hatano S, Kumamoto K, Ishibashi K, Chika N, Onozawa H, Matsuzawa T, Mochiki E, Yamaguchi K, Akagi K, Iwama T, Ishida H
summary/abstract:When we perform stapled ileal pouch anal anastomosis(IPAA)for familial adenomatous polyposis(FAP), some rectal mucosa persists. There is no consensus on surgical treatment when cancer develops at the residual mucosa. We report the case of a 43-year-old woman who repeatedly underwent endoscopic resection for intramucosal cancer that developed in the residual rectal mucosa 6 years after stapled IPAA, which she received at age 33. She was referred to our department for surgical treatment. We performed mucosectomy for the residual rectum mucosa, including a 0-Ⅱa lesion at the anterior wall. Two months later, stenosis was observed at the anastomotic site. We repeatedly conducted balloon expansion of the stenotic lesion. Six months later, the resected lesion was covered with white epithelium, and columnar epithelium was confirmed by step biopsy of the epithelium from the dentate line to the ileoanal pouch anastomotic site. This finding indicated that the regenerating epithelium was derived from the epithelium from the anal side. The patient remains well after 2 year 4 months with no complaints.
organization: Saitama Medical Universityread more full text source
expertly curated content related to this topic
-
Broad Phenotypic Spectrum in Familial Adenomatous Polyposis; From Early Onset and Severe Phenotypes to Late Onset of...BACKGROUND : Familial adenomatous polypo...
-
Prevalence and Risk Factors for Adenomas in the Ileal Pouch and the Afferent Loop After Restorative Proctocolectomy ...BACKGROUND : Restorative proctocolectomy...
-
Woman with Ostomy Bag Refused Entry to Bathroom with Disability AccessThat’s the message English blogger Sam...
-
life’s a polypI'm Jenny and I was diagnosed with Famil...
-
Familial Adenomatous Polyposis (FAP) in 9 Hispanic WomenPoster Presentation Background: Famil...
-
Outcome Based on Management for Duodenal Adenomas: Sporadic versus Familial DiseaseINTRODUCTION : Management and outcomes f...
-
Successful Treatment of Ileal Pouch Desmoids using Multimodal Chemotherapy with Low-Dose Vinblastine and Methotrexat...We describe a case of multiple desmoid t...