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Síndromes da polipose adenomatosa familiar

Última revisão: 10 Apr 2025
Última atualização: 07 Jan 2025

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • história familiar de polipose adenomatosa familiar (PAF)/PAF atenuada
  • adolescentes
  • início de câncer colorretal na meia idade
  • pigmentação bilateral da retina
Detalhes completos

Outros fatores diagnósticos

  • constipação/diarreia
  • hematoquezia
  • características extraintestinais da polipose adenomatosa familiar (PAF)
Detalhes completos

Fatores de risco

  • mutação das linhas germinativas no gene da polipose adenomatosa do cólon (APC)
  • história familiar de polipose adenomatosa familiar (PAF) ou PAF atenuada
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • teste genético
Detalhes completos

Algoritmo de tratamento

AGUDA

PAF: sem adenomas colônicos

PAF: com adenomas colônicos

PAF atenuada: sem adenomas colônicos

PAF atenuada: com adenomas colônicos

Colaboradores

Autores

Priyanka Kanth, MD, MS, FACG, AGAF

Associate Professor of Medicine

Division of Gastroenterology

MedStar Georgetown University Hospital

Lombardi Comprehensive Cancer Center

Washington

DC

Declarações

PK declares that she has no competing interests.

Agradecimentos

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.

Declarações

CAT, AGT, LAB, and DLRJ declare that they have no competing interests.

Revisores

Galen Leung, MD

Assistant Professor of Clinical Medicine

Perelman School of Medicine

University of Pennsylvania

Philadelphia

PA

Declarações

GL declares that he has no competing interests.

Jatin Roper, MD

Assistant Professor of Medicine

Duke University School of Medicine

Duke University

Durham

NC

Declarações

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

Declarações

YP declares that he has no competing interests.

Gabriela Moslein, MD

Editorial Board

Allgemein- und Viszeralchirurgie

St Josefs-Hospital Bochum-Linden

Dusseldorf

Germany

Declarações

GM declares that she has no competing interests.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology: genetic/familial high-risk assessment: colorectal, endometrial, and gastric [internet publication].Texto completo

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.Texto completo  Resumo

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.Texto completo  Resumo

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.Texto completo  Resumo

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. Resumo

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.Texto completo  Resumo

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.Texto completo  Resumo

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.Texto completo  Resumo

Artigos de referência

Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
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    • NCCN clinical practice guidelines in oncology: genetic/familial high-risk assessment: colorectal​, endometrial, and gastric
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