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Living with Familial multiple polyposis syndrome

An inherited condition (familial adenomatous polyposis) with many growths in the colon that raise the risk of colorectal cancer.

Understanding Familial multiple polyposis syndrome

Familial multiple polyposis syndrome, also called familial adenomatous polyposis (FAP), is an inherited condition that causes many polyps in the colon.

Polyps are growths that are not yet cancer, but they can turn into colorectal cancer. There is a classic type, which starts as early as childhood, and a milder (attenuated) type. People with FAP can also have growths in other places, such as bones (osteomas), skin (cysts), and the adrenal glands. Less often, other types of cancer can occur.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Many colon and rectal polyps
  • Polyps in the stomach and the first part of the small intestine
  • Constipation or diarrhea
  • Bone growths (osteomas)
  • Thyroid nodules
  • Tissue growths called desmoid tumors

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include cancer specialists, digestive system specialists, eye disease specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Fight Colorectal Cancer and FORCE: Facing Our Risk of Cancer Empowered may keep lists of experts for this condition.

Care & treatment

Care team
Cancer specialists (oncologists); Digestive system specialists (gastroenterologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Expert lists: Fight Colorectal Cancer, FORCE: Facing Our Risk of Cancer Empowered
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Fight Colorectal Cancer and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How often should I have a colonoscopy?
Is genetic testing right for me and my relatives?
What are my options for surgery and follow-up care?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant, Autosomal Recessive

Changes in genes cause FAP. GARD says it can be passed down in an autosomal dominant or autosomal recessive way.

GeneticGastrointestinal

Also known as: adenomatous polyposis; adenomatous polyposis coli; adenomatous polyposis of the colon; apc - adenomatous polyposis coli; classic familial adenomatous polyposis; classic fap

Patient organizations

Source: NIH GARD · Familial multiple polyposis syndromeGARD ID 6408 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Familial multiple polyposis syndrome.

Explore the Familial multiple polyposis syndrome blog

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