lymphoma and crohns?

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Curt
Regular Member


Date Joined Apr 2005
Total Posts : 55
   Posted 8/14/2008 11:54 AM (GMT -7)   
i recently had a nurse bring this to my attention. that patients , usually the younger ones could develop a form of cancer called lymphoma. Does anyone have any information on this? i would greatly appreciate it.

is there any exams that could be done to rule out lymphoma? once again thanks for your time

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MikeB
Veteran Member


Date Joined Mar 2006
Total Posts : 1169
   Posted 8/14/2008 12:10 PM (GMT -7)   
There is a very slight elevated lifetime risk of developing lymphoma in the small bowel with Crohns patients -- most likely from the extended effects of inflammation there. Small bowel lymphoma is a very rare condition for all people and it is still very rare for Crohnies -- something on the order of 1 in tens of thousands I think. Unfortunately its symptoms are minimal and resember standard Crohns symptoms until the cancer is well advanced. The two tests to detect it are the SBFT barium tracking X-rays and the capsule endoscopy, but again, the incidence is so low that I don't think any GIs would encuorage regular screening. Basically we all have much higher chances of developing one of the other more common cancers (breast for women, prostate for me and of course colon, which should be screened for in our regular scopes.) You are probably also more likely to be hit by a bus than to develop small bowel lymphoma. The only area of increased concern is a slight uptick in cases among patients on biologics, and especially biologics with immunosuppressant therapy, but the incidence remains very low there. Bottom line is it is very unlikely that you will get this.
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