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December 3, 1949, Vol 141, No. 14 >
Other Articles | December 3, 1949

CHRONIC ULCERATIVE COLITIS AND CARCINOMA

WILLIAM G. SAUER, M.D.; J. ARNOLD BARGEN, M.D.
JAMA. 1949;141(14):982-986. doi:10.1001/jama.1949.02910140022007.
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With the recurrent emphasis placed on the detection of cancer and on the widespread dissemination of information regarding cancer, it was thought apropos to review once again the records of those patients with chronic ulcerative colitis in whom carcinoma has developed since our last report1 five years ago.

In a disease process such as chronic ulcerative colitis, remissions and exacerbations of the disease are constantly forcing efforts of repair and formation of new tissue on the healing colon. During the course of this disease it has been shown by Bargen2 that pseudoadenomatous polyps may develop in approximately 10 per cent of the cases. Later it was noted by Brust and Bargen3 and by Hurst4 that a progression might occur from chronic ulcerative colitis through adenoma to carcinoma. Thus it would seem that here is a disease process in which carcinoma occurs as a complication, and if

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