Extra-intestinal malignancies in inflammatory bowel diseases: An update with emphasis on MDCT and MR imaging features - 07/09/15

Doi : 10.1016/j.diii.2015.02.009

A. Dohan ^a,^b , S.A. Faraoun ^c , M. Barral ^a , Y. Guerrache ^a , M. Boudiaf ^a , X. Dray ^b,^d , C. Hoeffel ^e , M. Allez ^b,^f , O. Farges ^b,^g , L. Beaugerie ^h , T. Aparicio ⁱ , P. Marteau ^b,^d , E.K. Fishman ^j , O. Lucidarme ^k , C. Eveno ^b,^l , M. Pocard ^b,^l , R. Dautry ^a,^b , P. Soyer ^a,^b,^⁎
^a Department of Abdominal Imaging, hôpital Lariboisière, Assistance publique–Hôpitaux de Paris, 2, rue Ambroise-Paré, 75010 Paris, France
^b Université Paris-Diderot, Sorbonne Paris Cité, 10, avenue de Verdun, 75010 Paris, France
^c Department of Radiology, centre Pierre-et-Marie-Curie, place du 1^er-Mai, 16016 Alger, Algeria
^d Department of Digestive Diseases, hôpital Lariboisière, Assistance publique–Hôpitaux de Paris, 2, rue Ambroise-Paré, 75010 Paris, France
^e Department of Radiology, hôpital Robert-Debré, 11, boulevard Pasteur, 51092 Reims cedex, France
^f Department of Digestive Diseases, hôpital Saint-Louis, Assistance publique–Hôpitaux de Paris, 1, avenue Claude-Vellefaux, 75010 Paris, France
^g Department of Hepatobiliary Surgery, hôpital Beaujon, Assistance publique–Hôpitaux de Paris, 100, boulevard du Général-Leclerc, 92118 Clichy, France
^h Department of Gastroenterology, hôpital Saint-Antoine, Assistance publique–Hôpitaux de Paris, 184, rue du Faubourg-Saint-Antoine, 75012 Paris, France
ⁱ Department of Oncology, hôpital Avicenne, Assistance publique–Hôpitaux de Paris, 125, rue de Stalingrad, 93000 Bobigny, France
^j Department of Radiology, Johns Hopkins Hospital, 601N Caroline Street, JHOC 3251, Baltimore, MD 21287, USA
^k Department of Radiology, hôpital Pitié-salpêtrière, Assistance publique–Hôpitaux de Paris, 47–83, boulevard de l’Hôpital, 75013 Paris, France
^l Department of Digestive Surgery, hôpital Lariboisière, Assistance publique–Hôpitaux de Paris, 2, rue Ambroise-Paré, 75010 Paris, France

^⁎Corresponding author at: Department of Abdominal Imaging, hôpital Lariboisière, Assistance publique–Hôpitaux de Paris, 2, rue Ambroise-Paré, 75010 Paris, France.

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Abstract

Inflammatory bowel diseases (IBD) are associated with an increased risk of gastrointestinal cancers and more specifically in sites affected by chronic inflammation. However, patients with IBD have also an increased risk for developing a variety of extra-intestinal cancers. In this regard, hepatobiliary cancers, such as cholangiocarcinoma, are more frequently observed in IBD patients because of a high prevalence of primary sclerosing cholangitis, which is considered as a favoring condition. Extra-intestinal lymphomas, mostly non-Hodgkin lymphomas, and skin cancers are also observed with an increased incidence in IBD patients by comparison with that in patients without IBD. This review provides an update on demographics, risk factors and clinical features of extra-intestinal malignancies, including cholangiocarcinoma, hepatocellular carcinoma and lymphoma, that occur in patients with IBD along with a special emphasis on the multidetector row computed tomography and magnetic resonance imaging features of these uncommon conditions.

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Keywords : Inflammatory bowel disease, Diagnostic imaging, Extra-intestinal cancer, Cholangiocarcinoma, Lymphoma

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Vol 96 - N° 9

P. 871-883 - settembre 2015 Ritorno al numero

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Extra-intestinal malignancies in inflammatory bowel diseases: An update with emphasis on MDCT and MR imaging features - 07/09/15

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