Clonal Patterns Between Pouch Neoplasia and Prior Colorectal Neoplasia in Inflammatory Bowel Disease Patients: An Exploratory Cohort Study

Author:

te Groen Maarten1ORCID,Derikx Lauranne A A P12,van Lierop Lisa1,Ylstra Bauke3ORCID,Hoentjen Frank14,Nagtegaal Iris D5,Simmer Femke5

Affiliation:

1. Department of Gastroenterology, Radboud University Medical Center , Nijmegen , the Netherlands

2. Department of Gastroenterology, Erasmus Medical Center , Rotterdam , the Netherlands

3. Department of Pathology, Amsterdam University Medical Centers , Amsterdam , the Netherlands

4. Division of Gastroenterology, Department of Medicine, University of Alberta , Edmonton, Alberta , Canada

5. Department of Pathology, Radboud University Medical Center , Nijmegen , the Netherlands

Abstract

Lay Summary Prior colorectal neoplasia is the strongest predictor of pouch neoplasia in inflammatory bowel disease, but the underlying mechanism is unknown. We observed clonality between colorectal and pouch neoplasia in 30% of patients, indicating that most pouch neoplasia develops clonally independent from prior colorectal lesions.

Publisher

Oxford University Press (OUP)

Subject

Gastroenterology,Immunology and Allergy

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