Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male

Familial adenomatous polyposis is rare. Three cases were previously reported in Nigeria. An intriguing feature of this case is an ulcerated jejunal carcinoma which was metastatic rather than synchronous carcinoma. This patient presented with partial large bowel obstruction and the pathological analy...

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Main Authors: Chukwuemeka C. Osuagwu, Okechukwu C. Okafor, Emmanuel R. Ezeome, Chrisogonus E. Uche, Charles Ememonu, Emeka Kesieme
Format: Article
Language:English
Published: SAGE Publishing 2010-12-01
Series:Rare Tumors
Online Access:https://doi.org/10.4081/rt-2010-4-e66
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author Chukwuemeka C. Osuagwu
Okechukwu C. Okafor
Emmanuel R. Ezeome
Chrisogonus E. Uche
Charles Ememonu
Emeka Kesieme
author_facet Chukwuemeka C. Osuagwu
Okechukwu C. Okafor
Emmanuel R. Ezeome
Chrisogonus E. Uche
Charles Ememonu
Emeka Kesieme
author_sort Chukwuemeka C. Osuagwu
collection DOAJ
description Familial adenomatous polyposis is rare. Three cases were previously reported in Nigeria. An intriguing feature of this case is an ulcerated jejunal carcinoma which was metastatic rather than synchronous carcinoma. This patient presented with partial large bowel obstruction and the pathological analysis revealed 4 invasive adenocarcinomas, 3 in the colon and 1 in the jejunum (Dukes stage D). Palliative pancolectomy and jejunal tumour resection with chemotherapy was offered to him. He died eight months after surgery from disease progression. The challenges of managing a hereditary cancer syndrome in a resource poor country are highlighted.
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spelling doaj.art-479903573d75454b9d7bf9f5fe514c6c2022-12-22T00:50:46ZengSAGE PublishingRare Tumors2036-36132010-12-01210.4081/rt-2010-4-e66Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian MaleChukwuemeka C. Osuagwu0Okechukwu C. Okafor1Emmanuel R. Ezeome2Chrisogonus E. Uche3Charles Ememonu4Emeka Kesieme5 Department of Surgery, Imo State University Teaching Hospital, Orlu, Imo state, Nigeria Department of Morbid Anatomy, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria Department of Surgery, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu State, Nigeria Department of Surgery, Imo State University Teaching Hospital, Orlu, Imo state, Nigeria Department of Surgery, Imo State University Teaching Hospital, Orlu, Imo state, Nigeria Department of Surgery, Imo State University Teaching Hospital, Orlu, Imo state, NigeriaFamilial adenomatous polyposis is rare. Three cases were previously reported in Nigeria. An intriguing feature of this case is an ulcerated jejunal carcinoma which was metastatic rather than synchronous carcinoma. This patient presented with partial large bowel obstruction and the pathological analysis revealed 4 invasive adenocarcinomas, 3 in the colon and 1 in the jejunum (Dukes stage D). Palliative pancolectomy and jejunal tumour resection with chemotherapy was offered to him. He died eight months after surgery from disease progression. The challenges of managing a hereditary cancer syndrome in a resource poor country are highlighted.https://doi.org/10.4081/rt-2010-4-e66
spellingShingle Chukwuemeka C. Osuagwu
Okechukwu C. Okafor
Emmanuel R. Ezeome
Chrisogonus E. Uche
Charles Ememonu
Emeka Kesieme
Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male
Rare Tumors
title Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male
title_full Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male
title_fullStr Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male
title_full_unstemmed Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male
title_short Familial Adenomatous Polyposis with Synchronous Invasive Colonic Carcinomas and Metastatic Jejunal Adenocarcinoma in a Nigerian Male
title_sort familial adenomatous polyposis with synchronous invasive colonic carcinomas and metastatic jejunal adenocarcinoma in a nigerian male
url https://doi.org/10.4081/rt-2010-4-e66
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