scholarly journals Genetic alteration of colorectal adenoma‐carcinoma sequence among gastric adenocarcinoma and dysplastic lesions in a patient with attenuated familial adenomatous polyposis

2020 ◽  
Vol 8 (9) ◽  
Author(s):  
Hiroki Tanabe ◽  
Kentaro Moriichi ◽  
Keitaro Takahashi ◽  
Yusuke Ono ◽  
Yu Kobayashi ◽  
...  
2008 ◽  
Vol 6 (1) ◽  
pp. 46-52 ◽  
Author(s):  
Deborah W. Neklason ◽  
Jeffery Stevens ◽  
Kenneth M. Boucher ◽  
Richard A. Kerber ◽  
Nori Matsunami ◽  
...  

2005 ◽  
Vol 129 (11) ◽  
pp. 1380-1384 ◽  
Author(s):  
Jeremy R. Jass

Abstract Precancerous polyposes other than classic familial adenomatous polyposis and the condition hereditary nonpolyposis colorectal cancer, or Lynch syndrome, continue to present major diagnostic challenges for the anatomic pathologist. This editorial highlights the practical significance of novel insights and clinical guidelines in the recent literature, as well as in 4 contributions to this edition of the Archives of Pathology & Laboratory Medicine. The first section will address attenuated familial adenomatous polyposis and a newly recognized type of autosomal-recessive adenomatous polyposis associated with the DNA repair gene MYH. The remainder of the editorial discusses the role of the revised Bethesda guidelines in the diagnosis of hereditary nonpolyposis colorectal cancer and concludes with the recently identified serrated pathway syndrome.


2019 ◽  
Vol 12 (11) ◽  
pp. e231232
Author(s):  
Vivek Sant ◽  
Elsa Reich ◽  
Lauren Khanna ◽  
Wenqing Cao ◽  
Susan Kornacki ◽  
...  

Familial adenomatous polyposis (FAP) is an autosomal dominant syndrome associated with mutation in the adenomatous polyposis coli (APC) gene, a tumour suppressor located on chromosome 5q21. Attenuated familial adenomatous polyposis (AFAP) is a variant associated with fewer and later onset of colon polyps. AFAP-associated APC mutations have largely been found before codon 157, in exon 9 or after codon 1595. We present the case of a 44-year-old man incidentally found to have numerous gastric polyps during bariatric surgery, with innumerable polyps in the remaining part of the stomach and the entire colon, with rectal sparing, consistent with AFAP phenotype. Genetic testing demonstrated the c.7682dup (p.Ser2562Lysfs*21) variant in exon 15 of APC. This represents a previously undescribed APC mutation. This mutation likely yields end-binding protein 1 and human disc large binding protein inactivation, causing cell cycle microtubule dysregulation and tumour suppressor inactivation. Through loss of these regulatory mechanisms, this mutation is associated with AFAP phenotype. The patient was treated surgically and is doing well.


2008 ◽  
Vol 74 (1) ◽  
pp. 79-83 ◽  
Author(s):  
Sean Garrean ◽  
Justin Hering ◽  
Abdul Saied ◽  
Jigna Jani ◽  
N. Joseph Espat

Familial adenomatous polyposis (FAP) is a rare hereditary syndrome characterized by multiple colorectal polyps and early development of colorectal cancer. Although FAP uniformly involves the large bowel, it may also produce lesions in the stomach and upper intestinal tract. Fundic gland polyps are the most common gastric lesion in FAP. In the general population, these polyps are considered benign and have no malignant potential. However, in FAP patients, fundic gland polyps have been occasionally recognized as precursor lesions from which invasive cancer may develop. Herein, we present a case of gastric adenocarcinoma arising from fundic gland polyps in an FAP patient. We also review reported cases of gastric cancer in FAP and FAP variant patients in an effort to better understand the pathology, clinical course, and optimal screening and treatment strategies for this disease manifestation.


2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Tsuneo Ikenoue ◽  
Kiyoshi Yamaguchi ◽  
Mitsuhiro Komura ◽  
Seiya Imoto ◽  
Rui Yamaguchi ◽  
...  

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