Abstract
A 39-year-old woman diagnosed as having familial adenomatous polyposis had a total colectomy for ascending rectal cancer (Ra, stage III) in August 2003. Based on the upper gastrointestinal endoscopy before that surgery, multiple duodenal polyps were found ; these were subsequently followed. She was transferred to our hospital in October 2007 and had an upper gastrointestinal endoscopy. Some polyps from among the multiple duodenal polyps were diagnosed as adenocarcinoma based on endoscopic and pathlogy findings. No jejunal lesions were found on intestinal endoscopy. A pancreaticoduodenectomy was performed along with a D2 lymph node dissection. Currently, 23 months after surgery, the patient is relapse-free. It is well known that familial adenomatous polyposis is often complicated by duodenal cancer, but multiple early stage, duodenal cancer lesions in a patient with familial adnomatous polyposis is rare. It is very important to do proper duodenal screenings in familial adenomatous polyposis patients.
