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A case of Crohn's disease complicated with simultaneous double cancers of the small bowel
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- OBARA Nao
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- KOGANEI Kazutaka
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- TATSUMI Kenji
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- FUTATSUKI Ryo
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- KUROKI Hirosuke
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- YAMADA Kyoko
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- ARAI Katsuhiko
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- SUGITA Akira
- Department of Inflammatory Bowel Disease, Yokohama Municipal Citizen's Hospital
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- HAYASHI Hiroyuki
- Department of Pathology, Yokohama Municipal Citizen's Hospital
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- FUKUSHIMA Tsuneo
- MATSUSHIMA Clinic
Bibliographic Information
- Other Title
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- 2カ所の小腸癌を合併したクローン病の1例
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Description
<p>A case of Crohn's disease complicated with simultaneous double cancers of the small bowel is reported. The patient is a 66-year-old man who had suffered from Crohn's disease for 20 years. He underwent surgery to identify the source of repeated episodes of intestinal obstruction. Two short segments of strictures and proximal dilatations were found in the distal ileum. Therefore, we performed an en bloc resection of the two stenotic sections instead of strictureplasty. Histological examination of the resected specimen revealed not only Crohn's disease but also a well-differentiated adenocarcinoma within each of the two strictures. One had invaded to the muscular layer and the other to the subserosal layer. In cases of Crohn's disease with longstanding stenosis, the probability of carcinoma should be considered.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 113 (11), 1901-1908, 2016
The Japanese Society of Gastroenterology
