Carcinoma of the small intestine and colon as a complication of Crohn disease: radiologic manifestation
Barium examinations of the large and small bowel were analyzed in six of seven patients who had adenocarcinoma in areas of the intestine affected with Crohn disease; radiographic changes were correlated with clinical, surgical, and pathologic findings. Radiographic examinations were available in five of these patients at the time of diagnosis of tumor. Two of the five patients demonstrated classic radiographic changes associated with carcinoma. In the other three cases, the radiographic changes were atypical for carcinoma and demonstrated progression of disease over time to include more portions of the bowel and presence of fistulas, strictures, and obstruction. The most frequent clinical presentation of adenocarcinoma in these patients was a recrudescence of symptoms after a long quiescent period. In patients with long-standing Crohn disease plus these clinical features and the above radiographic findings, the diagnosis of a coexisting carcinoma should be considered.
- Research Organization:
- Univ. of Chicago Hospitals and Clinics, IL
- OSTI ID:
- 6964969
- Journal Information:
- Radiology; (United States), Vol. 150:3
- Country of Publication:
- United States
- Language:
- English
Similar Records
Intestinal permeability to (/sup 51/Cr)EDTA in children with Crohn's disease and celiac disease
Strategies for preserving intestinal length in the short-bowel syndrome
Related Subjects
59 BASIC BIOLOGICAL SCIENCES
CARCINOMAS
PATHOLOGY
LARGE INTESTINE
BIOMEDICAL RADIOGRAPHY
SMALL INTESTINE
DIGESTIVE SYSTEM DISEASES
FISTULAE
PATIENTS
BODY
DIAGNOSTIC TECHNIQUES
DIGESTIVE SYSTEM
DISEASES
GASTROINTESTINAL TRACT
INTESTINES
MEDICINE
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATHOLOGICAL CHANGES
RADIOLOGY
550602* - Medicine- External Radiation in Diagnostics- (1980-)
550900 - Pathology