Synchronous ileal and colonic adenocarcinomas associated with Crohn's disease: report of a case with a focus on genetic alterations and carcinogenesis

J Clin Pathol. 2004 Aug;57(8):885-7. doi: 10.1136/jcp.2003.014811.

Abstract

Patients with Crohn's disease have an increased risk of developing intestinal tumours. However, the carcinogenic mechanisms remain poorly understood. To address this question, this report describes an unusual case of Crohn's disease complicated by synchronous small intestinal and colonic adenocarcinomas. Genetic events in both the tumours and their adjacent mucosae were evaluated and the tumorigenesis of these cancers is discussed.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / genetics
  • Adenocarcinoma / pathology*
  • Colonic Neoplasms / genetics
  • Colonic Neoplasms / pathology*
  • Crohn Disease / complications*
  • Crohn Disease / genetics
  • Crohn Disease / pathology*
  • Cytoskeletal Proteins / analysis
  • Female
  • Gene Expression
  • Humans
  • Ileal Neoplasms / genetics
  • Ileal Neoplasms / pathology*
  • Immunohistochemistry
  • Intestinal Mucosa / metabolism
  • Intestinal Mucosa / pathology
  • Microsatellite Repeats
  • Middle Aged
  • Neoplasms, Multiple Primary / genetics
  • Neoplasms, Multiple Primary / pathology*
  • Trans-Activators / analysis
  • beta Catenin

Substances

  • CTNNB1 protein, human
  • Cytoskeletal Proteins
  • Trans-Activators
  • beta Catenin