Crohn's disease and adenocarcinoma of the bowel.

Abstract:

:We present six cases of cancer associated with Crohn's disease and stress the importance of the earlier age of onset than spontaneously arising small-bowel carcinoma, the long period of latency from the time of diagnosis of Crohn's disease to that of carcinoma, and the generally poor prognosis. We emphasize, furthermore, the frequent association with fistulas and the predisposition of bypassed or excluded segments of bowel to undergo malignant transformation. The occurrence of carcinoma in an excluded rectal stump has not previously been reported and stresses the necessity of resecting, rather than excluding, segments of bowel involved with Crohn's disease. These tumors are often not readily apparent by radiographic or endoscopic examination and in fact, may be discovered only after microscopic examination of resected or biopsied tissue.

journal_name

Dig Dis Sci

authors

Traube J,Simpson S,Riddell RH,Levin B,Kirsner JB

doi

10.1007/BF01308045

subject

Has Abstract

pub_date

1980-12-01 00:00:00

pages

939-44

issue

12

eissn

0163-2116

issn

1573-2568

journal_volume

25

pub_type

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