Palade R, Tomescu M, Suliman E, Popa D
Clinica Chirurgie I, Spitalul Universitar de Urgenţă Bucureşti, UMF Carol Davila, Bucureşti, România.
Chirurgia (Bucur). 2007 Nov-Dec;102(6):729-34.
Familial adenomatous polyposis with features of malignancy find in a 23 years old patient, whose diagnosis has been established on endoscopical basis. Total proctocolectomy is performed with terminal ileostomy. Histopathologically, the diagnosis is revealed, with establishing of multiple areas of malignancy in rectum and sigmoid colon. In the postoperative period, the patient is treated by pelvic radiotherapy and polychemotherapy. After one year, the clinical outcome is good, with weight gain 13 Kg and finishing high school. After two years, peritoneal carcinomatosis and one lung metastasis.
在一名23岁患者中发现具有恶性特征的家族性腺瘤性息肉病，其诊断已通过内镜检查确定。行全直肠结肠切除术并做末端回肠造口术。组织病理学检查确诊为直肠和乙状结肠多处恶性病变。术后，患者接受盆腔放疗和多药化疗。一年后，临床结果良好，体重增加13千克并完成高中学业。两年后，出现腹膜癌转移和一处肺转移。
