Introduction:

Familial adenomatus polyposis is a rare disease and represent less than 1% of colorectal cancer. The hallmark feature is the prescence of thousands colorectal adenomatous polips with high risk to develop cancer.

Clinical case:

A 48 years old female with bleeding and weight loss and more than 100 polips in colonoscopy, besides an occlusive tumor in sigmoid colon. She has also three relatives with diagnosis of colon cancer.

Conclusion:

An early evaluation of the patient and close relatives is mandatory to prevent cancer formation. Timely surgery is the basis of treatment.

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