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familial adenomatous polyposis and papillary thyroid cancer
I recently saw a 35-year-old man with a family history of familial adenomatous polyposis. A 39-year-old brother recently died from metastatic colon cancer. His mother and sister were also afflicted and have had colectomies. The patient himself has not had any colon polyps identified on colonoscopy. He has a multinodular goiter with several subcentimeter nodules. The largest nodule was benign on fine needle aspiration. His history is further complicated by the fact that he had lymphoma in his teens for which he received head and neck irradiation.
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