Precise endoscopic and pathologic features in a crohn's disease case with two fistula-associated small bowel adenocarcinomas complicated by an anal canal adenocarcinoma

Mitsue Sogawa*, Kenji Watanabe, Yutaro Egashira, Kiyoshi Maeda, Kenichi Morimoto, Atsushi Noguchi, Noriko Kamata, Hirokazu Yamagami, Toshio Watanabe, Kazunari Tominaga, Yasuhiro Fujiwara, Nobuhide Oshitani, Tetsuo Arakawa

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

The patient was a 40-year-old man who had suffered from Crohn's disease (CD) for 19 years and devel-oped an intractable perianal fistula and two strictures in the small bowel. Dilatation of the two strictures us-ing double-balloon endoscopy did not improve the subileus symptoms. An anal canal adenocarcinoma was also detected using double-balloon endoscopy. The ileum and rectoperianal area were partially resected, and a precise immunohistochemical pathologic assessment revealed that all three lesions were fistula-associated adenocarcinomas. Accumulating endoscopic findings of CD-associated cancer and precise pathologic diagnos-tic findings will help to establish a suitable surveillance method.

Original languageEnglish
Pages (from-to)445-449
Number of pages5
JournalInternal Medicine
Volume52
Issue number4
DOIs
StatePublished - 2013

Keywords

  • Crohn's disease
  • Double-balloon endoscopy
  • Fistula-associated anal adenocarcinoma
  • P53
  • Small bowel adenocarcinoma

ASJC Scopus subject areas

  • Internal Medicine

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