Abstract
Other than the presence of adenomatous rectal polyps at proctoscopy, there is no satisfactory biomarker available for the early diagnosis of Familial Adenomatous Polyposis (FAP) in at-risk relatives of patients with the disease. Potential markers, such as mandibular osteomas, have not proved helpful as shown by Woods (1989). Recently, several authors’ (Berk 1988, Blair 1980, Diaz-Llopis 1988, Lewis 1984, Traboulsi 1987 and 1988) attention has turned to the lesions of congenital hypertrophy of the retinal pigment epithelium (CHRPE), which are present as solitary lesions in a small minority of the normal population but which have been reported as multiple lesions in some families with FAP. The aim of this study was to investigate the incidence of CHRPE in a number of kindreds with FAP, to assess its value as a possible biomarker for polyposis and to evaluate its association with extraintestinal manifestations of the disease.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Berk T, Cohen Z, McLeod RS, Parker JA (1988) Congenital hypertrophy of the retinal pigment epithelium as a marker for familial adenomatous polyposis. Dis Colon Rectum 31:253–257.
Blair NP, Trempe CL (1980) Hypertrophy of the retinal pigment epithelium associated with Gardner’s syndrome. Am J Ophthalmol 90:661–667.
Diaz-Llopis M, Memezo JL (1988) Congenital hypertrophy of the retinal pigment epithelium in familial adenomatous polyposis. Arch Ophthalmol 106:412–3.
Lewis RA, Crowder WE, Eiman LA, et al. (1984) The Gardner’s Syndrome: Significance of ocular features. Ophthalmology 91:916–925.
Slack J. (1989) Presented at Fourth International Symposium on Colorectal Cancer, Kobe, Japan.
Traboulsi EI, Krush AJ, Gardner EJ, et al. (1987) Prevalence and importance of pigmented ocular fundus lesions in Gardner’s syndrome. N Engl J Med 316:661–667.
Traboulsi EI, Maumenee IH, Krush AJ, et al. (1988) Pigmented ocular fundus lesions in the inherited gastrointestinal polyposis syndromes and hereditary nonpolyposis colorectal cancer. Ophthalmology 95:964–969.
Woods RJ, Sarre RG, Ctercteko GC, Jagelman DJ, Smith JW, Duchesneau PM, McGannon E (1989) Occult radiologic changes in the skull and jaw in familial adenomatous polyposis coli. Dis Colon Rectum 32(4):304–306, 1989.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer Japan
About this paper
Cite this paper
Romania, A. et al. (1990). Congenital Hypertrophy of the Retinal Pigment Epithelium: A Clinical Marker for Familial Adenomatous Polyposis. In: Utsunomiya, J., Lynch, H.T. (eds) Hereditary Colorectal Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68337-7_14
Download citation
DOI: https://doi.org/10.1007/978-4-431-68337-7_14
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-68339-1
Online ISBN: 978-4-431-68337-7
eBook Packages: Springer Book Archive