Summary
Definition
Анамнез и осмотр
Ключевые диагностические факторы
- história familiar de polipose adenomatosa familiar (PAF)/PAF atenuada
- adolescentes
- início de câncer colorretal na meia idade
- pigmentação bilateral da retina
Другие диагностические факторы
- constipação/diarreia
- hematoquezia
- características extraintestinais da polipose adenomatosa familiar (PAF)
Факторы риска
- mutação das linhas germinativas no gene da polipose adenomatosa do cólon (APC)
- história familiar de polipose adenomatosa familiar (PAF) ou PAF atenuada
Диагностические исследования
Исследования, которые показаны в первую очередь
- teste genético
Алгоритм лечения
PAF: sem adenomas colônicos
PAF: com adenomas colônicos
PAF atenuada: sem adenomas colônicos
PAF atenuada: com adenomas colônicos
Составители
Авторы
Priyanka Kanth, MD, MS, FACG, AGAF
Associate Professor of Medicine
Division of Gastroenterology
MedStar Georgetown University Hospital
Lombardi Comprehensive Cancer Center
Washington
DC
Раскрытие информации
PK declares that she has no competing interests.
Выражение благодарностей
Dr Priyanka Kanth would like to gratefully acknowledge Dr Charles A. Ternent, Dr Alan G. Thorson, Dr Lisa A. Boardman, and Dr Douglas L. Riegert-Johnson, the previous contributors to this topic.
Раскрытие информации
CAT, AGT, LAB, and DLRJ declare that they have no competing interests.
Рецензенты
Galen Leung, MD
Assistant Professor of Clinical Medicine
Perelman School of Medicine
University of Pennsylvania
Philadelphia
PA
Раскрытие информации
GL declares that he has no competing interests.
Jatin Roper, MD
Assistant Professor of Medicine
Duke University School of Medicine
Duke University
Durham
NC
Раскрытие информации
JR declares that he is a consultant for Microbial Machines.
Yann Parc, MD, PhD
Professor of General Surgery
Department of Digestive Surgery
Hopital Saint-Antoine
Universite Pierre et Marie Curie Paris VI
Paris
France
Раскрытие информации
YP declares that he has no competing interests.
Gabriela Moslein, MD
Editorial Board
Allgemein- und Viszeralchirurgie
St Josefs-Hospital Bochum-Linden
Dusseldorf
Germany
Раскрытие информации
GM declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: genetic/familial high-risk assessment: colorectal, endometrial, and gastric [internet publication].Полный текст
Yang J, Gurudu SR, Koptiuch C, et al. American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in familial adenomatous polyposis syndromes. Gastrointest Endosc. 2020 May;91(5):963-82.e2.Полный текст Аннотация
Hyer W, Cohen S, Attard T, et al. Management of familial adenomatous polyposis in children and adolescents: Position paper from the ESPGHAN polyposis working group. J Pediatr Gastroenterol Nutr. 2019 Mar;68(3):428-41.Полный текст Аннотация
Poylin VY, Shaffer VO, Felder SI, et al. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the management of inherited adenomatous polyposis syndromes. Dis Colon Rectum. 2024 Feb 1;67(2):213-27.Полный текст Аннотация
Syngal S, Brand RE, Church JM, et al.; American College of Gastroenterology. ACG clinical guideline: genetic testing and management of hereditary gastrointestinal cancer syndromes. Am J Gastroenterol. 2015 Feb;110(2):223-62. Аннотация
Monahan KJ, Bradshaw N, Dolwani S, et al. Guidelines for the management of hereditary colorectal cancer from the British Society of Gastroenterology (BSG)/Association of Coloproctology of Great Britain and Ireland (ACPGBI)/United Kingdom Cancer Genetics Group (UKCGG). Gut. 2020 Mar;69(3):411-44.Полный текст Аннотация
Zaffaroni G, Mannucci A, Koskenvuo L, et al. Updated European guidelines for clinical management of familial adenomatous polyposis (FAP), MUTYH-associated polyposis (MAP), gastric adenocarcinoma, proximal polyposis of the stomach (GAPPS) and other rare adenomatous polyposis syndromes: a joint EHTG-ESCP revision. Br J Surg. 2024 May 3;111(5):znae070.Полный текст Аннотация
van Leerdam ME, Roos VH, van Hooft JE, et al. Endoscopic management of polyposis syndromes: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2019 Sep;51(9):877-895.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Diagnósticos diferenciais
- Polipose MutYH
- Polipose juvenil
- síndrome de Peutz-Jeghers
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- NCCN clinical practice guidelines in oncology: genetic/familial high-risk assessment: colorectal, endometrial, and gastric
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