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 language | English |
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Pages (from-to) | 445-449 |
Number of pages | 5 |
Journal | Internal Medicine |
Volume | 52 |
Issue number | 4 |
DOIs | |
State | Published - 2013 |
Keywords
- Crohn's disease
- Double-balloon endoscopy
- Fistula-associated anal adenocarcinoma
- P53
- Small bowel adenocarcinoma
ASJC Scopus subject areas
- Internal Medicine