Caratto, Elisa

Caratto, Michela

Caristo, Giuseppe

Casaccia, Marco

Fornaro, Rosario

Frascio, Marco

English

Rosario Fornaro

Marco Casaccia

Giuseppe Caristo

Michela Caratto

Elisa Caratto

Marco Frascio.

Archivio istituzionale della ricerca - Università di Genova

  ADENOCARCINOMA ARISING FROM PERIANAL FISTULIZING CROHN’S DISEASE  Rosario Fornaro, Marco Casaccia, Giuseppe Caristo, Michela Caratto, Elisa Caratto,Marco Frascio Department of Surgery, Polyclinic San Martino Hospital, University of Genoa, Italy Rosario Fornaro: rfornaro@unige.it Tel-fax 0103537220  Perianal fistula is a very debilitating event and a cause of morbidity in patients with Crohn’s disease (CD). Its malignant transformation is very rare with an incidence of around 0.004–0.7%. Presence of disease in the colon and rectum is the major risk factor for the development of a perianal fistula. In this report we show a case of adenocarcinoma arising from a perianal fistu-lizing CD. This type of tumor is highly aggressive, difficult to diagnose, and has a rather poor prognosis. The different neoplastic transformations and the different types of tumors that may appear in patients with CD, especially at the colorectal level or at the level of an eventual anas-tomosis, are to date well documented and described in the literature, while there is a lack of information and of treated cases concerning the occurrence of cancer at the level of a fistula. Due to the rarity of cases, we tried to identify the most frequent and important risk factors: sex, duration of disease, age at diagnosis, and the history of the fistula. 

Adenocarcinoma arising from Perianal Fistulizing Crohn’s Disease

https://iris.unige.it/bitstream/11567/931453/1/Adenocarcinoma%20Arising%20from%20Perianal%20Fistulizing%20Crohn%e2%80%99s%20Disease.pdf

Adenocarcinoma arising from Perianal Fistulizing Crohn\u2019s Disease

Adenocarcinoma arising from Perianal Fistulizing Crohn\u2019s Disease

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Archivio istituzionale della ricerca - Università di Genova