Giovanni Santacroce, Alessandro Vanoli, Nicola Aronico, Paola Ilaria Bianchi, Marco Vincenzo Lenti, Carolina Ciacci, Fabiana Zingone, Umberto Volta, Antonio Calabrò, Luca Elli, Rachele Ciccocioppo, Gino Roberto Corazza, Marco Lucioni, Marco Paulli, Antonio Di Sabatino
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Different survival outcomes of small bowel adenocarcinomas and T-cell lymphomas associated to celiac disease.
Introduction: Small bowel adenocarcinoma (SBA) and T-cell lymphoma (TCL) are rare but aggressive malignancies associated with celiac disease (CD).
Methods: We retrospectively compared 43 CD-associated SBA and 43 CD-associated TCL across international referral centers.
Results: CD-associated SBA showed a significantly (p<0.01) better survival than CD-associated TCL. TCL more frequently presented with multifocal involvement and advanced stage, whereas SBA predominantly involved the jejunum. Refractoriness to a gluten-free diet was identified in 70% of TCL, but only in one SBA.
Discussion: Our findings demonstrated a worse prognosis of CD-associated TCL in comparison to CD-associated SBA.
期刊介绍:
Published on behalf of the American College of Gastroenterology (ACG), The American Journal of Gastroenterology (AJG) stands as the foremost clinical journal in the fields of gastroenterology and hepatology. AJG offers practical and professional support to clinicians addressing the most prevalent gastroenterological disorders in patients.