PMID: 38339Feb 1, 1979

Familial polyposis coli: heterogeneous polyp expression in 2 kindreds

Journal of Medical Genetics
H T LynchR E Harris

Abstract

We describe 2 extended kindreds supposedly manifesting familial multiple adenomatous polyposis coli (FPC), but which show marked heterogeneity in the phenotypic expression of colorectal adenomatous polyps. In one family, 2 individuals had diffuse polyposis at very early ages (7 and 10 years), while 6 others (aged 23 to 72 years) had solitary polyps only. Of the patients with solitary polyps, 2 had associated colonic malignancies (ages 26 and 35), while another had a prophylactic colectomy performed at age 46. In the second family, 5 of the 11 patients with evidence of polyps showed the classical presentation of FPC, while the remainder showed marked phenotypic variation. The marked variability in frequency and location of colon polyps points to the need to reassess our traditional criteria for diagnosis of FPC. The high risk of early onset colon cancer in patients from these families who have the most minimal manifestation, namely isolated polyps, recommends more careful scrutiny of supposedly unaffected members of all FPC kindreds.

Citations

Oct 29, 1977·Lancet·B S DanesE J GARDNER
Feb 1, 1977·Archives of Surgery·H T LynchJ F Lynch
Jan 1, 1975·The British Journal of Surgery·J Utsunomiya, T Nakamura
Nov 1, 1975·Annals of Internal Medicine·T J StemperR W Summers
Oct 15, 1971·American Journal of Obstetrics and Gynecology·C D Christian
Jan 1, 1968·Archives of Internal Medicine·J F FraumeniJ M Easton
Jan 1, 1971·Human Heredity·R C Elston, J Stewart
Oct 1, 1969·Archives of Surgery·R H YonemotoR B Rosen
Aug 1, 1952·Annals of Eugenics·C E DUKES
Feb 20, 1954·Journal of the American Medical Association·N W SWINTON
Nov 1, 1960·Diseases of the Colon and Rectum·T B MYERS, H E BACON
Oct 20, 1962·JAMA : the Journal of the American Medical Association·V A McKUSICK
Oct 1, 1950·The Journal of Heredity·C M WOOLF, E J GARDNER

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