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Small Bowel Adenocarcinoma as the Cause of Gastrointestinal Bleeding in Celiac Disease: A Rare Malignancy in a Common Disease
Joint Authors
Olszewski, Adam J.
Afari, Maxwell Eyram
Minami, Taro
Fallah, Jaleh
Cordova, Alfredo C.
Source
Case Reports in Oncological Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-28
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Celiac disease is associated with an increased risk of small bowel malignancies, particularly lymphoma.
Its association with small bowel carcinoma is less known.
Case Description.
We report a case of an 89-year-old woman with celiac disease who experienced recurrent episodes of gastrointestinal bleeding and was ultimately found to have adenocarcinoma of the small intestine.
Discussion and Evaluation.
Diagnosis of small bowel adenocarcinoma is often delayed because of the need for specialized modalities, which are often deferred in the inpatient setting.
Although resection is the modality of choice for small bowel tumors, a majority is either locally advanced or metastatic at diagnosis, and even localized cancers have worse prognosis than stage-matched colorectal tumors.
The role of adjuvant chemotherapy is uncertain, but it is often offered extrapolating data from other gastrointestinal cancers.
Small bowel carcinomas occurring in the context of celiac disease appear to be associated with higher rates of microsatellite instability than sporadic tumors, although other specific genomic abnormalities and mechanisms of carcinogenesis in celiac disease remain unknown.
Conclusion.
Recurrent episodes of gastrointestinal bleeding in a patient with celiac disease should prompt an early evaluation of the small bowel to assure timely diagnosis of carcinoma at an early curable stage.
American Psychological Association (APA)
Fallah, Jaleh& Afari, Maxwell Eyram& Cordova, Alfredo C.& Olszewski, Adam J.& Minami, Taro. 2015. Small Bowel Adenocarcinoma as the Cause of Gastrointestinal Bleeding in Celiac Disease: A Rare Malignancy in a Common Disease. Case Reports in Oncological Medicine،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059322
Modern Language Association (MLA)
Fallah, Jaleh…[et al.]. Small Bowel Adenocarcinoma as the Cause of Gastrointestinal Bleeding in Celiac Disease: A Rare Malignancy in a Common Disease. Case Reports in Oncological Medicine No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059322
American Medical Association (AMA)
Fallah, Jaleh& Afari, Maxwell Eyram& Cordova, Alfredo C.& Olszewski, Adam J.& Minami, Taro. Small Bowel Adenocarcinoma as the Cause of Gastrointestinal Bleeding in Celiac Disease: A Rare Malignancy in a Common Disease. Case Reports in Oncological Medicine. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059322
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059322