Crohn's disease and colorectal malignancy

There has been much debate over the past 50 years concerning the associatio n between colorectal carcinoma and inflammatory bowel disease. Until recent ly, it was widely accepted there was a higher risk in those with widespread ulcerative colitis. However, evidence now suggests an almost equal inciden ce in those with Crohn's disease of similar extent and duration.(1) We pres ent a case that underlines the important clinical and pathological features of Crohn's disease associated colorectal carcinoma (CDAC). We present a li terature review and debate the role of regular colonic surveillance in pati ents with Crohn's disease affecting the colon.