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Adenocarcinoma in Ileal Pouch after Proctocolectomy for Familial Adenomatous Polyposis: Report of A Case
Journal of Korean Medical Science ; : 985-988, 2009.
Artículo en Inglés | WPRIM | ID: wpr-93512
ABSTRACT
Restorative proctocolectomy with ileal pouch-anal anastomosis is one of the surgical treatments of choice for patients with familial adenomatous polyposis. Although the risk of cancer developing in an ileal pouch is not yet clear, a few cases of adenocarcinoma arising in an ileal pouch have been reported. We report a case of adenocarcinoma in ileal pouch after proctocolectomy with ileal pouch-anal anastomosis. A 56-yr-old woman was diagnosed as having familial adenomatous polyposis. Total colectomy with ileorectal anastomosis was performed. Six years later, she underwent completion-proctectomy with ileal J pouch-anal anastomosis including anorectal mucosectomy for rectal cancer. After 7 yr, she presented with anal spotting. Endoscopic biopsies revealed adenocarcinoma at the ileal pouch. Resection of the ileal pouch and permanent ileostomy were performed. The risk of cancer in an ileal pouch and its prevention with regular surveillance must be emphasized.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias Colorrectales / Adenocarcinoma / Tomografía Computarizada por Rayos X / Proctocolectomía Restauradora / Poliposis Adenomatosa del Colon / Reservorios Cólicos Límite: Femenino / Humanos Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2009 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Neoplasias Colorrectales / Adenocarcinoma / Tomografía Computarizada por Rayos X / Proctocolectomía Restauradora / Poliposis Adenomatosa del Colon / Reservorios Cólicos Límite: Femenino / Humanos Idioma: Inglés Revista: Journal of Korean Medical Science Año: 2009 Tipo del documento: Artículo