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Adenocarcinoma of the Jejunum in Nonspecific Granulomatous Enteritis

Adenocarcinoma of the Jejunum in Nonspecific Granulomatous Enteritis Abstract Nonspecific granulomatous ileitis, as a distinct entity, was described for the first time by Crohn, Ginzburg, and Oppenheimer in 1932.1 References to this disease are made in the literature as far back as 1769, by Morgagni,2 and in 1913 by Dalziel,3 and in 1923 by Moshcowitz and Wilensky.4 The disease is not uncommon, with Marshak and Wolf5 reviewing 750 cases from the Mount Sinai Hospital in New York in 1955 and Van Patter, Bargen, et al.6 reporting on 600 cases from the Mayo Clinic in 1954. The incidence of malignancy in the small bowel in nonspecific granulomatous enteritis is extremely low. The first case reported was that of Ginzburg et al. in 1956,7 with an adenocarcinoma seen in the jejunum and multiple metastases to the liver. The inflammatory disease in the small bowel appeared to have been present for 15 years, from the References 1. Crohn, B. B.; Ginzburg, L., and Oppenheimer, G. D.: Regional Ileitis: A Pathologic and Clinical Entity , J. A. M. A. 99:1323-1329 ( (Oct.) ) 1932.Crossref 2. Morgagni, J. B.: Seats and Causes of Diseases Investigated by Anatomy ; in 5 Books, Containing a Great Variety of Dissections, with Remarks , translated by B. Alexander; London, A. Millar & T. Cadell, 1769, Vol. 2, pp. 64-65. 3. Dalziel, T. K.: Chronic Interstitial Enteritis , Brit. M. J. 2:1068-1070 ( (Oct. 25) ) 1913. 4. Moshcowitz, E., and Wilensky, A. O.: Nonspecific Granulomata of the Intestine , Am. J. M. Sc. 166:48-66 ( (July) ) 1923. 5. Marshak, R. H., and Wolf, B. S.: Roentgen Findings in Regional Enteritis , Am. J. Roentgenol. 74:1000-1014, 1955. 6. Van Patter, W. N.; Bargen, J. A.; Dockerty, M. B.; Feldman, W. H.; Mayo, C. W., and Waugh, J. M.: Regional Enteritis , Gastroenterology , 26:347-350 ( (March) ) 1954. 7. Ginzburg, L.; Schneider, K. M.; Dreizin, D. H., and Levinson, U.: Carcinoma of the Jejunum Occurring in a Case of Regional Enteritis , Surgery 39:347-351 ( (Feb.) ) 1956. 8. Kornfeld, P.; Ginzburg, L., and Adlersberg, D.: Adenocarcinoma Occurring in Regional Ileitis, Am , J. Med. 23:493-498 ( (Sept.) ) 1957.Crossref 9. Bersack, S. R.; Howe, J. S., and Rehak, E. M.: A Unique Case with Roentgenologic Evidence of Regional Enteritis of Long Duration and Histologic Evidence of Diffuse Adenocarcinoma , Gastroenterology 34:703-710 ( (April) ) 1958. 10. Liber, A. F.: Aberrant Pyloric Glands in Regional Ileitis , A. M. A. Arch. Path. 51:205-212 ( (Jan.-June) ) 1951. 11. Zimmerman, H. M.: Personal communication. 12. Weibel, L. A.; Joergenson, E. J., and Keasbey, L. A.: A Clinical Study of Small Bowel Tumors , Am. J. Gastroenterol. 21:466-476 ( (June) ) 1954. 13. Weintraub, S., and Ryan, R. J.: Malignant Tumors of Small Intestine , J. M. Soc. New Jersey 53:551-553 ( (Nov.) ) 1956. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Adenocarcinoma of the Jejunum in Nonspecific Granulomatous Enteritis

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Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1959.04320030127021
Publisher site
See Article on Publisher Site

Abstract

Abstract Nonspecific granulomatous ileitis, as a distinct entity, was described for the first time by Crohn, Ginzburg, and Oppenheimer in 1932.1 References to this disease are made in the literature as far back as 1769, by Morgagni,2 and in 1913 by Dalziel,3 and in 1923 by Moshcowitz and Wilensky.4 The disease is not uncommon, with Marshak and Wolf5 reviewing 750 cases from the Mount Sinai Hospital in New York in 1955 and Van Patter, Bargen, et al.6 reporting on 600 cases from the Mayo Clinic in 1954. The incidence of malignancy in the small bowel in nonspecific granulomatous enteritis is extremely low. The first case reported was that of Ginzburg et al. in 1956,7 with an adenocarcinoma seen in the jejunum and multiple metastases to the liver. The inflammatory disease in the small bowel appeared to have been present for 15 years, from the References 1. Crohn, B. B.; Ginzburg, L., and Oppenheimer, G. D.: Regional Ileitis: A Pathologic and Clinical Entity , J. A. M. A. 99:1323-1329 ( (Oct.) ) 1932.Crossref 2. Morgagni, J. B.: Seats and Causes of Diseases Investigated by Anatomy ; in 5 Books, Containing a Great Variety of Dissections, with Remarks , translated by B. Alexander; London, A. Millar & T. Cadell, 1769, Vol. 2, pp. 64-65. 3. Dalziel, T. K.: Chronic Interstitial Enteritis , Brit. M. J. 2:1068-1070 ( (Oct. 25) ) 1913. 4. Moshcowitz, E., and Wilensky, A. O.: Nonspecific Granulomata of the Intestine , Am. J. M. Sc. 166:48-66 ( (July) ) 1923. 5. Marshak, R. H., and Wolf, B. S.: Roentgen Findings in Regional Enteritis , Am. J. Roentgenol. 74:1000-1014, 1955. 6. Van Patter, W. N.; Bargen, J. A.; Dockerty, M. B.; Feldman, W. H.; Mayo, C. W., and Waugh, J. M.: Regional Enteritis , Gastroenterology , 26:347-350 ( (March) ) 1954. 7. Ginzburg, L.; Schneider, K. M.; Dreizin, D. H., and Levinson, U.: Carcinoma of the Jejunum Occurring in a Case of Regional Enteritis , Surgery 39:347-351 ( (Feb.) ) 1956. 8. Kornfeld, P.; Ginzburg, L., and Adlersberg, D.: Adenocarcinoma Occurring in Regional Ileitis, Am , J. Med. 23:493-498 ( (Sept.) ) 1957.Crossref 9. Bersack, S. R.; Howe, J. S., and Rehak, E. M.: A Unique Case with Roentgenologic Evidence of Regional Enteritis of Long Duration and Histologic Evidence of Diffuse Adenocarcinoma , Gastroenterology 34:703-710 ( (April) ) 1958. 10. Liber, A. F.: Aberrant Pyloric Glands in Regional Ileitis , A. M. A. Arch. Path. 51:205-212 ( (Jan.-June) ) 1951. 11. Zimmerman, H. M.: Personal communication. 12. Weibel, L. A.; Joergenson, E. J., and Keasbey, L. A.: A Clinical Study of Small Bowel Tumors , Am. J. Gastroenterol. 21:466-476 ( (June) ) 1954. 13. Weintraub, S., and Ryan, R. J.: Malignant Tumors of Small Intestine , J. M. Soc. New Jersey 53:551-553 ( (Nov.) ) 1956.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Mar 1, 1959

References