Familial Adenomatous Polyposis


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FAMILIAL ADENOMATOUS POLYPOSIS
ডাঃ মাশফিক আহমেদ ভুঁঞা।
ল্যাপারস্কোপিক এন্ড ইন্টারভেনশন এনডোসকপিক সার্জন।
এডভান্সড ইন্টারভেনশন এনডোসকপি ইআরসিপি ও কোলনস্কপি প্রশিক্ষণ ঝিয়ানঝৌ ইউনিভার্সিটি, চীন।
এডভান্স ল্যাপারস্কপি সার্জারি প্রশিক্ষণ, স্যার গঙ্গারাম হাসপাতাল, ভারত।
এডভান্স ইআরসিপি ট্রেনিং, ক্যাবাংসাং ইউনিভার্সিটি, মালেশিয়া।
সার্জারি বিভাগ,
ঢাকা মেডিকেল কলেজ হাসপাতাল
চেম্বারঃ
বাংলাদেশ স্পেশালাইজ ইন্টারভেনশন এন্ডোস্কপি সেন্টার,
হেলথ এন্ড হোপ হাসপাতাল, ৪র্থ তলায়, ১৫২/২/জি গ্রিন রোড, পান্থপথ, ঢাকা ১২০৫
রোগী দেখার সময়ঃ
বিকাল ৩ টা থেকে রাত ১০ টা পর্যন্ত
শনিবার, সোমবার, মঙ্গলবার
ফোনঃ ০১৩১০১১৭৪০৬, ০১৯৩৬৪২৭০০২
DR. MASFIQUE AHMED BHUIYAN
MBBS(DMC) FCPS(SURGERY)
LAPAROSCOPIC AND INTERVENTION ENDOSCOPIC SURGEON,
DEPARTMENT OF SURGERY,
DHAKA MEDICAL COLLEGE AND HOSPITAL,
DHAKA, BANGLADESH.
email: shimondmc@gmail.com
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Familial adenomatous polyposis is a hereditary condition which is analyzed when a man grows more than 100 adenomatous colon polyps, a zone where ordinary cells that line within a man’s colon shape a mass. For more info: http://cancersolutions.us/fami....lial-adenomatous-pol


A Case Report and Literature Review on Familial Adenomatous Polyposis Coli in East Africa
Introduction: Familial adenomatous polyposis (FAP) is a rare diagnosis in East Africa. It is less common in females than in males and occurs around the age of puberty. The author reports a case of a 21 year old gentleman presenting with occasional passage of blood stained stool, and found to have familial adenomatous polyposis coli. This is followed by a literature review on the pathogenesis, clinical features and treatment options of FAP in East Africa.
Presentation of Case: This patient presented with a strong family history of familial adenomatous polyposis, blood stained stool and a rectal mass. A total proctocolectomy and ileoanal anastomosis was carried out. The postoperative course of this patient was uneventful.
Discussion: The typical gross pathological and histological features of familial adenomatous polyposis and rectal adenocarcinoma were seen on the resected colorectal specimen. In addition this study reviews the literature regarding the clinical presentation, pathological characteristics and treatment options of familial adenomatous polyposis coli.
Conclusion: FAP should always be considered in a young patient presenting with a strong family history of CRC. Colonoscopy should be performed on these patients with early symptoms and those patients with a strong family history of FAP. In East Africa, the creation of a permanent stoma is unacceptable and therefore a proctocolectomy and Brooke ileostomy will not be a desirable option in a young patient in this part of the world.
#CRC #colorectal_carcinoma #FAP #Familial_adenomatous #polyposis #MUTYH Mut Y #homolog_gene #APC: #Adenomatous #polyposis_gene
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