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Hepatoblastoma and APC gene mutation in familial adenomatous polyposis
  1. F CETTA,
  2. G MONTALTO
  1. M PETRACCI
  1. Interuniversity Center for Research in Hepatobiliary Disease,
  2. Institute of Surgical Clinics,
  3. University of Siena,
  4. Nuovo Policlinico,
  5. Viale Bracci,
  6. 53100 Siena, Italy
  7. Department of Ophthalmology,
  8. University of Siena
  1. Professor Francesco Cetta.

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Editor,—The recent article by Giardielloet al (Gut 1996; 39: 867–9) reported eight patients with hepatoblastoma collected from the Johns Hopkins Polyposis Registry. As the authors acknowledge, hepatoblastoma is very rare in patients with familial adenomatous polyposis (FAP). Only 33 cases (24 men, nine women) have been reported in the literature since the first description in 1982.1 ,2 In particular, the exact site of the APC gene mutation has been detected in only a minority of these patients.

Here, we report an additional patient with FAP associated  hepatoblastoma, who was discovered during intensive …

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