Komorowski R A, Tresp M G, Wilson S D
Dis Colon Rectum. 1986 Jan;29(1):55-8. doi: 10.1007/BF02555290.
Adenomatous lesions and carcinoma of the upper gastrointestinal tract, biliary tree, and gallbladder are being reported with increasing frequency in patients with familial polyposis coli or Gardner's syndrome (FPC/GS). A patient with FPC/GS who developed polyps with carcinoma in situ of the common bile duct and ampulla of Vater, along with extensive adenomatous changes in the duodenum, gallbladder, extrahepatic bile ducts, and main pancreatic duct is presented. Proliferative lesions, adenomas, and carcinomas should always be considered in the differential in patients with FPC/GS who have symptoms of upper gastrointestinal, biliary or pancreatic disease.
在家族性腺瘤性息肉病或加德纳综合征（FPC/GS）患者中，上消化道、胆管和胆囊的腺瘤性病变及癌的报告频率越来越高。本文介绍了一名患有FPC/GS的患者，该患者出现了胆总管和十二指肠乳头原位癌息肉，同时十二指肠、胆囊、肝外胆管和主胰管有广泛的腺瘤样改变。对于有上消化道、胆道或胰腺疾病症状的FPC/GS患者，鉴别诊断时应始终考虑增生性病变、腺瘤和癌。
