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International Journal of Colorectal Disease

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01-12-2007 | Case Report

Crohn’s disease-associated colorectal cancer in Japan: report of four cases

Authors: Tadataka Hayashi, Toshio Nakamura, Kiyotaka Kurachi, Atsuko Fukazawa, Akihito Nakajima, Koichi Nakamura, Shohachi Suzuki, Hiroyuki Konno

Published in: International Journal of Colorectal Disease | Issue 12/2007

Abstract

Purpose

We report four cases of Crohn’s disease (CD)-associated colorectal cancer (CRC) in our department.

Case 1

A 42-year-old Japanese man had a 14-year history of ileocolon CD. He had a history of an ileocecal resection and a stricture plasty. At the age of 42, sigmoid colostomy was performed because of the deterioration of the anal stenosis. After this operation, the perianal pain had remained, and a magnetic resonance imaging scan revealed a rectal tumor.

Case 2

A 30-year-old Japanese man had a 13-year history of ileocolon CD. He had a history of an ileostomy, a subtotal colectomy, and ileo-rectal anastomosis. At the age of 30, he had perianal pain, and a colonoscopy revealed a rectal cancer. An abdomino-perineal resection of the remnant rectum was performed.

Case 3

A 46-year-old Japanese man had a 9-year history of ileocolon CD. He experienced abdominal fullness. Colonoscopy revealed an ascending colon cancer. He underwent a subtotal colectomy and ileo-rectal anastomosis.

Case 4

A 33-year-old Japanese woman had a 16-year history of ileocolon CD. She had no changes in symptoms of CD. Surveillance colonoscopy revealed a transverse colon cancer. She underwent a subtotal colectomy and ileo-rectal anastomosis.

Conclusion

As the number of patients with CD and with CD-associated CRC has increased in Japan, CD-associated CRC, as noted in these patients, should be kept in mind in the management of patients with CD. In addition, a surveillance system of patients with CD should be established and should prompt further study about CD-associated CRC.

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Title: Crohn’s disease-associated colorectal cancer in Japan: report of four cases
Authors: Tadataka Hayashi
Toshio Nakamura
Kiyotaka Kurachi
Atsuko Fukazawa
Akihito Nakajima
Koichi Nakamura
Shohachi Suzuki
Hiroyuki Konno
Publication date: 01-12-2007
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Colorectal Disease / Issue 12/2007
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-007-0371-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Crohn’s disease-associated colorectal cancer in Japan: report of four cases

Abstract

Purpose

Case 1

Case 2

Case 3

Case 4

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Case 1

Case 2

Case 3

Case 4

Conclusion

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