Familial Adenomatous Polyposis (FAP) | Familial adenomatous polyposis

Familial adenomatous polyposis (FAP) is a rare disease where a number of precancerous polyps develop in the large intestine, increasing ...CORONAVIRUS:DELAYSFORROUTINESURGERIES,VISITORRESTRICTIONS+COVID-19TESTING.Home/HealthLibrary/Disease&ConditionsFamilialAdenomatousPolyposis(FAP)Familialadenomatouspolyposis(FAP)isararediseasewhereanumberofprecancerouspolypsdevelopinthelargeintestine,increasingchancesforcancer.Preventivesurgeryisthestandardtreatment.Appointments&AccessContactUsFamilialAdenomatousPolyposis(FAP)MenuOverviewDiagnosisandTestsManagementandTreatmentWhatisfamilialadenomatouspolyposis(FAP)?Familialadenomatouspolyposis(FAP)isarare,hereditaryconditioninwhichapersondevelopsnumerousprecancerouspolypscalledadenomasinthelargeintestine(colonandrectum).Polypsdevelopinteenyearsorearly20s.Thenumberofpolypsvariesfromlessthan100tothousands,andwithincreasingagethepolypsgetlargerandmoreproblematic.Eventually,oneormoreoftheseadenomaswillbecomecancerous.Withouttreatment,patientswithFAPhaveanearly100%lifetimeriskofcolorectalcancer.Thechanceofdevelopingcolorectalcancerincreaseswithage;theaverageageatwhichpeoplearediagnosedwithcanceris39.Whatcausesfamilialadenomatouspolyposis(FAP)?FAPoccursin1in10,000people.ItiscausedbymutationsintheAPCgenethatinterferewiththefunctionoftheproteinmadebythegene.Thisallowscellstogrowinanuncontrolledwayandpredisposesthemtobecomingcancers.MostpatientswithFAPinheritedamutationinAPCfromoneoftheirparents,whowerealsoaffectedwithFAP.About25%ofthetimethemutationhappenswhenapatientisconceivedandinthiscasethereisnofamilyhistoryofFAPintheparents.BecausepatientswhoarebornwithanAPCmutationhavethemutationineverycellintheircolon,theydevelophundredsandeventhousandsofthesepotentiallyprecancerousadenomas.Becausethemutationisineverycellinthepatientsbody,otherorgansaresusceptibletogrowths,eitherbenignormalignant.Theseotherorgansinclude:Bones(osteomasarebenignbonytumorsusuallyaffectingtheskullandjaw).Themouth(uneruptedteeth,extrateethandodontomas[benigntumors]).Th


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