Separation of Low- Versus High-grade Crohn’s Disease-associated Small Bowel Carcinomas is Improved by Invasive Front Prognostic Marker Analysis,Journal of Crohn's and Colitis

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Separation of Low- Versus High-grade Crohn’s Disease-associated Small Bowel Carcinomas is Improved by Invasive Front Prognostic Marker Analysis
Journal of Crohn's and Colitis ( IF 8 ) Pub Date : 2019-08-16 , DOI: 10.1093/ecco-jcc/jjz140
Giovanni Arpa ₁ , Federica Grillo ₂ , Paolo Giuffrida ₃ , Gabriella Nesi ₄ , Catherine Klersy ₅ , Claudia Mescoli ₆ , Marco Vincenzo Lenti ₃ , Gessica Lobascio ₁ , Michele Martino ₃ , Giovanni Latella ₇ , Deborah Malvi ₈ , Maria Cristina Macciomei ₉ , Paolo Fociani ₁₀ , Vincenzo Villanacci ₁₁ , Aroldo Rizzo ₁₂ , Stefano Ferrero ₁₃ , Fausto Sessa ₁₄ , Augusto Orlandi ₁₅ , Giovanni Monteleone ₁₆ , Livia Biancone ₁₆ , Laura Cantoro ₁₇ , Francesco Tonelli ₁₈ , Antonio Ciardi ₁₉ , Gilberto Poggioli ₂₀ , Fernando Rizzello ₂₁ , Sandro Ardizzone ₂₂ , Gianluca Sampietro ₂₃ , Gaspare Solina ₂₄ , Barbara Oreggia ₂₅ , Claudio Papi ₂₆ , Renata D’Incà ₂₇ , Maurizio Vecchi ₂₈ , Flavio Caprioli ₂₈ , Roberto Caronna ₂₉ , Antonietta D’Errico ₈ , Roberto Fiocca ₂ , Massimo Rugge ₆ , Gino Roberto Corazza ₃ , Ombretta Luinetti ₁ , Marco Paulli ₁ , Enrico Solcia ₁ , Antonio Di Sabatino ₃ , Alessandro Vanoli ₁

Affiliation

Unit of Anatomic Pathology, Department of Molecular Medicine, University of Pavia, and Fondazione IRCCS San Matteo Hospital, Pavia, Italy
Pathology Unit, Department of Surgical and Diagnostic Sciences, University Hospital and Ospedale Policlinico San Martino IRCCS, Genova, Italy
Department of Internal Medicine, Fondazione IRCCS San Matteo Hospital, University of Pavia, Pavia, Italy
Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
Service of Clinical Epidemiology & Biometry, Fondazione IRCCS San Matteo Hospital, Pavia, Italy
Pathology Unit, Department of Medicine, University of Padua, Padua, Italy
Gastroenterology Unit, Department of Life and Environmental Sciences, University of L’Aquila, L’Aquila, Italy
Department of Experimental, Diagnostic and Specialty Medicine [DIMES], Institute of Oncology and Transplant Pathology, University of Bologna, Policlinico St Orsola-Malpighi Hospital, Bologna, Italy
Pathology Unit, San Camillo-Forlanini Hospital, Rome, Italy
Unit of Pathology, Luigi Sacco University Hospital, Milan, Italy
Pathology Section, Spedali Civili Hospital, Brescia, Italy
Pathology Unit, Cervello Hospital, Palermo, Italy
Division of Pathology, Department of Biomedical, Surgical and Dental Sciences, University of Milan, and Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
Department of Medicine and Surgery, University of Insubria, Varese, Italy
Department of Biopathology and Image Diagnostics, University of Tor Vergata, Rome, Italy
Department of Systems Medicine, University of Tor Vergata, Rome, Italy
Gastroenterologia Aziendale USL Umbria, Perugia, Italy
Department of Surgery and Translational Medicine, University of Florence, Florence, Italy
Department of Radiological, Oncological, Pathological Sciences, Umberto I Hospital, La Sapienza University, Rome, Italy
Surgery of the Alimentary Tract, Department of Medical and Surgical Sciences, Sant’Orsola - Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy
Intestinal Chronic Bowel Disease Unit, Department of Medical and Surgical Sciences, Sant’Orsola Malpighi Hospital, Alma Mater Studiorum University of Bologna, Bologna, Italy
Gastroenterology, Luigi Sacco University Hospital, Milan, Italy
IBD Surgery, Luigi Sacco University Hospital, Milan, Italy
General Surgery, Cervello Hospital, Palermo, Italy
General Surgery Unit, Fondazione IRCCS Ca’ Granda, Ospedale Policlinico, Milan, Italy
IBD, San Filippo Neri Hospital, Rome, Italy
Gastroenterology Section, Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy
Gastroenterology and Endoscopy Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, and Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
Surgical Sciences, Umberto I Hospital, La Sapienza University, Rome, Italy

Crohn’s disease-associated small bowel carcinoma is a rare event, usually reported to have a severe prognosis. However, in previous investigations we have found a minority of cases displaying a relatively favourable behaviour, thus outlining the need to improve the histopathological prediction of Crohn’s disease-associated small bowel carcinoma prognosis.

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