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TitlePhenotypic characterization and familial risk in hyperplastic polyposis syndrome
Author(s)Caetano, Ana Célia
Ferreira, Helena
Soares, João
Ferreira, Aníbal
Gonçalves, Raquel
Rolanda, Carla
KeywordsAdenomatous Polyposis Coli
Follow-Up Studies
Intestinal Mucosa
Middle Aged
Retrospective Studies
Risk Factors
Young Adult
Genetic Predisposition to Disease
Colorectal cancer
Hyperplastic polyposis syndrome
Issue dateOct-2013
PublisherTaylor & Francis
JournalScandinavian Journal of Gastroenterology
CitationCaetano, A. C., Ferreira, H., Soares, J., Ferreira, A., Gonçalves, R., & Rolanda, C. (2013). Phenotypic characterization and familial risk in hyperplastic polyposis syndrome. Scandinavian journal of gastroenterology, 48(10), 1166-1172.
Abstract(s)BACKGROUND. Hyperplastic polyposis syndrome (HPS) is a rare condition characterized by numerous hyperplastic polyps (HP) with a pancolonic distribution. Genetic and environmental factors, including smoking, may be responsible for phenotypic differences. OBJECTIVE. To characterize HPS patients' phenotype and to determine HPS risk and colorectal cancer (CRC) risk in the first-degree relatives (FDRs). PATIENTS AND METHODS. Eight HPS patients were followed at our Gastroenterology Department (2008-2012). The data included (1) macroscopic and histological analysis of polyps, (2) demographic information about patients and their families and (3) colonoscopy results of FDR that accepted a screening exam. RESULTS. Six of the eight index cases (ICs) had family history of CRC. Of the 24 FDRs screened, 5 were diagnosed with HPS. In our study, HPS and CRC prevalence in FDR was 625 and 9 times higher than the risk of the general population. Polyps over 10 mm were preferentially located in proximal colon (p < 0.001). Advanced polyps were larger (p < 0.001) than HP and more frequent in older patients (p = 0.0054). Nonsmokers had smaller polyps (p = 0.037) preferentially in the proximal colon (p = 0.04) and a lower age at HPS diagnosis. Patients with CRC family history manifest HPS at an earlier age and patients whose relatives had CRC before 50 years had larger polyps (p = 0.0475). Smokers with CRC family history had larger polyps than nonsmokers (p = 0.048). CONCLUSION. Despite the small sample, the results reflect the phenotypic heterogeneity of HPS as well as the increased family risk of HPS and CRC. This study points out that CRC family history and smoking influence HPS expression.
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Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

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