title: Development of two cancers in the same patient after ileorectal and ileal pouch anal anastomosis for familial adenomatous polyposis.
abstract: OBJECTIVE
  To report a case of a patient with familial adenomatous polyposis.
  
  
  METHODS
  A 36-year-old male patient who suffered from rectal bleeding was treated with colectomy and ileorectal anastomosis for familial adenomatous polyposis (FAP) in 1974. After 19 years, in situ adenocarcinoma was detected in the rectal stump. Completion proctectomy, mucosectomy, and hand-sewn ileal pouch anal anastomosis with protective ileostomy were performed. In 2002, a metachronous cancer was detected at the anastomosis and abdominoperineal resection of the pouch and end ileostomy were performed. Later on, the perineum was excised locally because of cancer recurrence.
  
  
  CONCLUSIONS
  This case shows that lifetime surveillance of the FAP patients after surgery is crucial.
authors.affiliation: Department of Gastrointestinal Surgery, Yüksek Ihtisas Hospital, Ankara, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Ulaş
authors.forename: Gürel
authors.initials: G
authors.lastname: Neşşar
authors.forename: Akin
authors.initials: A
authors.lastname: Bostanoğlu
authors.forename: Gülden
authors.initials: G
authors.lastname: Aydoğ
authors.forename: Cüneyt
authors.initials: C
authors.lastname: Kayaalp
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Ozoğul
authors.forename: Canbek
authors.initials: C
authors.lastname: Seven
mesh_terms: D002288:Adenocarcinoma, Mucinous / Q000175:diagnosis*; D011125:Adenomatous Polyposis Coli / Q000150:complications / Q000601:surgery*; D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D000714:Anastomosis, Surgical; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis*; D003110:Colonic Neoplasms / Q000150:complications*; D006801:Humans; D007081:Ileostomy; D008297:Male; D014421:Turkey