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ABDOMEN / GI tract general   59 / F,  Incidentally detected abnormal findings on CT
2019-12-16
About Author
Authors Sang Won, Kim
Institution Kyung Hee University Hospital at Gangdong
E-mail rad2000@daum.net
About Case
Chief complaint
or Title
Incidentally detected abnormal findings on CT
Subspecialty ABDOMEN / GI tract general
Classification Neoplasm, benign / adenoma
Age 59 Sex F
Difficulty For resident, For specialist
Modality US, CT
Case Figures
Click above Figure for more images.
Questions
What is your impression?
Answer
Diagnosis Villotubular adenoma
Comments

adenoma with
low-grade dysplasia>

 

* Familial adenomatous polyposis
syndrome


--Autosomal
dominant; however, spontaneous mutations in 10-30%



--Adenomatous
polyps typically involve the colon



--Extracolonic
GI manifestations



-Fundic
gland polyps: m/c



-Duodenum:
2
nd m/c
site (50-90%), adenomas (tubular or villous adenomas)
à
periampullary cancer (lifetime incidence: up to 12%)



-Adenomas
in the jejunum and ileum: about 20% of FAPS patients



 

References 1. Gore RM, Levine MS (2008) Textbook of gastrointestinal radiology. 3rd edn. Saunders, Philadelphia
2. Aihara H et al. Diagnosis, surveillance, and treatment strategies for familial adenomatous polyposis: rationale and update. Eur J Gastroenterol Hepatol 2014;26:255-62.
Keywords Familial adenomatous polyposis
Attachment File -

Number of Applicants : 42
Correct Answer 1
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