Abstract
We experienced a case of complete-type Gardner syndrome in which a giant desmoid tumor was associated with polyposis coli and an osteoma. A 36-year-old woman had undergone excision of abdominal desmoid tumor four times, which ended up in repeated recurrence. When the patient was admitted to the hospital for the 4th operation, she was pointed out having polyposis coli. As the polyposis was tubular adenoma, she was strictly followed on an ambulant basis. And on this 5th admission, a pathological diagnosis of severe dysplasia was made. Excision of the abdominal tumor and colectomy were carried out. There is an agreement for the treatment of polyposis coli that colectomy or colorectal excision should be performed at the age raging from 15 to 20 for its possible malignant change. In this case the operative procedure was selected by entertaining a significantly delayed timing for operation and better postoperative quality of life. No polyposis lesion was left in the remnant rectum, however, further careful observation would be mandatory.
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