TY - CHAP M1 - Book, Section TI - Polyposis Syndromes A1 - Doherty, Gerard M. PY - 2010 T2 - Quick Answers Surgery AB - • Familial adenomatous polyposis (FAP) (adenomatous polyposis coli) is a rare but important disease because colorectal cancer develops before age 40 in nearly all untreated patients• FAP: Autosomal dominant• APC gene localized to chromosome 5q21• Thousands of polyps (occasionally fewer) of varying size and configuration are present in the colon and rectum• Extracolonic manifestations are associated with FAP: -Endocrine adenoma-Osteoma-Epidermoid cyst-Small bowel adenoma-Visceral malignancy-Desmoid tumor-Thyroid carcinoma-Hepatoblastoma• Gardner syndrome: Variant of FAP with polyposis, desmoid tumors, osteomas of mandible or skull, and sebaceous cysts• Turcot syndrome: Variant of FAP with polyposis and a medulloblastoma or glioma• Congenital hypertrophy of retinal pigment epithelium (always bilateral, more than 4 lesions on each side) predicts FAP with 97% sensitivity-This abnormality is present as early as 3 months of age in affected members• Polyps begin to appear at puberty• Cancer develops in these patients at a mean age of 35 years SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/16 UR - accesssurgery.mhmedical.com/content.aspx?aid=58098165 ER -