%0 Review
%T Incidental cancer in colectomy specimens from patients with familial adenomatous polyposis: single centre experience and literature review.
%A Uylas U
%A Gundogdu R
%A Sumer F
%A Samdanci E
%A Kayaalp C
%J Int J Colorectal Dis
%V 38
%N 1
%D Mar 2023 23
%M 36949302
%F 2.796
%R 10.1007/s00384-023-04370-4
%X <B>BACKGROUND: </B>Since cancer development is inevitable in patients with familial adenomatous polyposis (FAP), we aimed to determine the incidence of incidental malignancy in prophylactic colectomy specimens.<BR><B>METHODS: </B>The files of patients who underwent prophylactic surgery for FAP between 2010 and 2020 were retrospectively reviewed. The incidence of incidental malignancy in histopathological specimens was examined and a comprehensive literature review was made.<BR><B>RESULTS: </B>Fifty-five patients were included in the study, of whom 30 patients had a diagnosis of primary malignancy. Prophylactic colectomy was performed on 25 patients. The pathology results indicated that the specimens were benign in 12 patients (48%) and revealed carcinoma in situ in 11 patients (44%). Incidental malignancy was detected in 2 patients (8%). In the literature review, there were 243 patients who underwent prophylactic colectomy and incidental cancer was detected in 25 patients (10.3%) with the stages of 1 (7.4%), 2 (2.1%), and 3 (0.8%), respectively.<BR><B>CONCLUSIONS: </B>Incidental cancer is not rare in patients who have undergone prophylactic colectomy for FAP. Hopefully. they are usually at early stages and unexpected advanced cancers are seen rarely.