Is screening for thyroid carcinoma indicated in familial adenomatous polyposis?

被引:72
作者
Bulow, C
Bulow, S
Berk, T
Bertario, L
Church, J
Evans, G
Neale, K
Park, JG
RodriguezBigas, M
SeowChoen, F
Vasen, H
Winde, G
机构
[1] Danish Polyposis Register, Dept. of Surgical Gastroenterology, University of Copenhagen, Hvidovre
[2] Familial Gastrointest. Cancer R., Mount Sinai Hospital, Toronto, Ont.
[3] Italian Polyposis Registry, Milan, c/o A.I. Stom
[4] Familial Polyposis Registry, Cleveland Clinic Foundation, Cleveland, OH
[5] N. Western Region Polyposis Registry, St. Mary's Hospital, Manchester
[6] Polyposis Registry, St. Mark's Hospital, London
[7] Korean Polyposis Registry, Seoul National University Hospital, Seoul
[8] Familial Polyposis Registry, Roswell Park Cancer Institute, Buffalo, NY
[9] Singapore Polyposis Registry, Singapore General Hospital
[10] Dutch Polyposis Registry, University Hospital Leiden, Leiden
[11] Münster Polyposis Registry, University of Münster, Münster
[12] Dept. of Surgical Gastroenterology, Hvidovre Hospital, DK-2650 Hvidovre
关键词
D O I
10.1007/s003840050097
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Forty-five polyposis patients with thyroid carcinoma constituted 1.2% of the patients in the Leeds Castle Polyposis Group database, The patients were diagnosed during 1959-1995: 44 were females at a median age of 25 years (range 10-40) and 37 (82%) had papillary carcinoma. At the end of 1995 only one patient (9%) had died from thyroid carcinoma, and the ten-year cumulative survival was 84% (95% confidence limits 72-97), Due to the low incidence of thyroid carcinoma in FAP and the good prognosis we do not recommend a regular thyroid screening in polyposis, as this is unlikely to result in a reduction of the mortality. but will only aggravate existing cancrophobia in these strained patients.
引用
收藏
页码:240 / 242
页数:3
相关论文
共 14 条
[1]   PAPILLARY THYROID-CARCINOMA ETIOLOGY, ASSESSMENT, AND THERAPY [J].
AIN, KB .
ENDOCRINOLOGY AND METABOLISM CLINICS OF NORTH AMERICA, 1995, 24 (04) :711-+
[2]   FAMILIAL ADENOMATOUS POLYPOSIS (GARDNERS-SYNDROME) AND THYROID-CARCINOMA - A CASE-REPORT AND REVIEW OF THE LITERATURE [J].
BELL, B ;
MAZZAFERRI, EL .
DIGESTIVE DISEASES AND SCIENCES, 1993, 38 (01) :185-190
[3]   CENTRALIZED REGISTRATION, PROPHYLACTIC EXAMINATION, AND TREATMENT RESULTS IN IMPROVED PROGNOSIS IN FAMILIAL ADENOMATOUS POLYPOSIS - RESULTS FROM THE DANISH POLYPOSIS REGISTER [J].
BULOW, S ;
BULOW, C ;
NIELSEN, TF ;
KARLSEN, L ;
MOESGAARD, F .
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY, 1995, 30 (10) :989-993
[4]   PAPILLARY THYROID-CARCINOMA IN DANISH PATIENTS WITH FAMILIAL ADENOMATOUS POLYPOSIS [J].
BULOW, S ;
HOLM, NV ;
MELLEMGAARD, A .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1988, 3 (01) :29-31
[5]   DUODENAL ADENOMATOSIS IN FAMILIAL ADENOMATOUS POLYPOSIS [J].
BULOW, S ;
ALM, T ;
FAUSA, O ;
HULTCRANTZ, R ;
JARVINEN, H ;
VASEN, H ;
MOGENSEN, AM ;
MOESGAARD, F ;
SVENDSEN, LB ;
SONDERGAARD, J ;
KARLSEN, L ;
MECKLIN, JP ;
KAHRI, A ;
GRIFFIOEN, G ;
NAGENGAST, F ;
OFFERHAUS, GJA ;
BAKKA, A ;
ANDERSEN, SN .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1995, 10 (01) :43-46
[6]   Papillary thyroid carcinoma in three siblings with familial adenomatous polyposis [J].
Civitelli, S ;
Tanzini, G ;
Cetta, F ;
Petracci, M ;
Pacchiarotti, MC ;
Civitelli, B .
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 1996, 11 (01) :34-37
[7]   ANALYSIS OF ADENOMATOUS POLYPOSIS-COLI GENE IN THYROID-TUMORS [J].
COLLETTA, G ;
SCIACCHITANO, S ;
PALMIROTTA, R ;
RANIERI, A ;
ZANELLA, E ;
CAMA, A ;
COSTANTINI, RM ;
BATTISTA, P ;
PONTECORVI, A .
BRITISH JOURNAL OF CANCER, 1994, 70 (06) :1085-1088
[8]  
*DAN CANC SOC, 1993, CANC DENM
[9]   RECTAL-CANCER RISK IN PATIENTS TREATED FOR FAMILIAL ADENOMATOUS POLYPOSIS [J].
DECOSSE, JJ ;
BULOW, S ;
NEALE, K ;
JARVINEN, H ;
ALM, T ;
HULTCRANTZ, R ;
MOESGAARD, F ;
COSTELLO, C ;
MACRAE, FA ;
WATTS, C ;
BERK, T ;
COHEN, Z ;
IWAMA, T ;
JAGELMAN, DG ;
MCGANNON, E ;
DECOSSE, JJ ;
THOMSON, JPS ;
ITOH, H ;
BABA, S ;
MUTO, T .
BRITISH JOURNAL OF SURGERY, 1992, 79 (12) :1372-1375
[10]   INCREASED RISK OF THYROID AND PANCREATIC-CARCINOMA IN FAMILIAL ADENOMATOUS POLYPOSIS [J].
GIARDIELLO, FM ;
OFFERHAUS, GJA ;
LEE, DH ;
KRUSH, AJ ;
TERSMETTE, AC ;
BOOKER, SV ;
KELLEY, NC ;
HAMILTON, SR .
GUT, 1993, 34 (10) :1394-1396