Korean J Gastrointest Endosc > Volume 28(5); 2004 > Article
Korean Journal of Gastrointestinal Endoscopy 2004;28(5): 251-256.
난소의 낭선섬유종(Cystadenofibroma)이 동반된 가족성 선종성 용종증 1예
김용수·이세준·신소연·김 철·정재복·강진경·김남규*·김호근·조남훈
연세대학교 의과대학 내과학교실, 소화기병연구소, *외과학교실, 병리학교실
Ovarian Cystadenofibroma in a Patient with Familial Adenomatous Polyposis
Yong Soo Kim, M.D., Se Joon Lee, M.D., So Youn Shin, M.D., Cheol Kim, M.D.,Jae Bock Chung, M.D., Jin Kyung Kang, M.D., Nam Kyu Kim, M.D.*,Ho Guen Kim, M.D. and Nam-Hoon Cho, M.D.
Department of Internal Medicine, Institute of Gastroenterology, *Departments of Surgery, andPathology, Yonsei University, College of Medicine, Seoul, Korea
Abstract
Familial adenomatous polyposis (FAP) is a hereditary disease characterized by the appearance of numerous polyps in the large bowel with a high potential for malignant transformation unless untreated. A variety of extracolonic manifestations were reported such as osteoma, epidermoid cyst, desmoid tumor, gastroduodenal polyps, small bowel tumor, congenital hypertrophy of the retinal pigment epithelium, hepatobiliary tumor, thyroid tumor, and tumor of the central nervous system. However, the ovarian involvement of FAP as an extracolonic manifestation was very rare and there have been only few reports. We experienced a rare case of ovarian cystadenofibroma in a patient with FAP as an extracolonic manifestation. We also found colon cancer with multiple hepatic metastasis initially manifested as intestinal obstruction in the same patient. Surgical treatment and subsequent chemotherapy for colon cancer and intraoperative radiofrequency ablation of hepatic metastasis were performed. (Korean J Gastrointest Endosc 2004;28:251⁣256)
Key Words: Familial adenomatous polyposis, Cystadenofibroma, Colon cancer
주요어: 가족성 선종성 용종증, 낭선섬유종, 대장암
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