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Difference between revisions of "Colon"
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→Solitary rectal ulcer: tweak
(→Solitary rectal ulcer: tweak) |
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*Usually conservative, i.e. non-surgical. | *Usually conservative, i.e. non-surgical. | ||
*Resection - may be done for fear of malignancy. | *Resection - may be done for fear of malignancy. | ||
===Gross=== | |||
*Classically, anterior or anterolateral wall of the rectum.<ref name=pmid18271667/> | |||
===Microscopic=== | ===Microscopic=== | ||
Features:<ref name=pmid18271667/><ref name=pmid2091997>{{Cite journal | last1 = Malik | first1 = AK. | last2 = Bhaskar | first2 = KV. | last3 = Kochhar | first3 = R. | last4 = Bhasin | first4 = DK. | last5 = Singh | first5 = K. | last6 = Mehta | first6 = SK. | last7 = Datta | first7 = BN. | title = Solitary ulcer syndrome of the rectum--a histopathologic characterisation of 33 biopsies. | journal = Indian J Pathol Microbiol | volume = 33 | issue = 3 | pages = 216-20 | month = Jul | year = 1990 | doi = | PMID = 2091997 }}</ref> | Features:<ref name=pmid18271667/><ref name=pmid2091997>{{Cite journal | last1 = Malik | first1 = AK. | last2 = Bhaskar | first2 = KV. | last3 = Kochhar | first3 = R. | last4 = Bhasin | first4 = DK. | last5 = Singh | first5 = K. | last6 = Mehta | first6 = SK. | last7 = Datta | first7 = BN. | title = Solitary ulcer syndrome of the rectum--a histopathologic characterisation of 33 biopsies. | journal = Indian J Pathol Microbiol | volume = 33 | issue = 3 | pages = 216-20 | month = Jul | year = 1990 | doi = | PMID = 2091997 }}</ref> | ||
*Fibrosis of the lamina propria | *Fibrosis of the lamina propria. | ||
*Thickened muscularis mucosa | *Thickened muscularis mucosa with abnormal extension to the lumen. | ||
*+/-Mucosa ulceration. | *+/-Mucosa ulceration. | ||
*+/-Submucosal fibrosis. | *+/-Submucosal fibrosis. | ||
DDx: | |||
*[[Inflammatory pseudopolyp]] (inflammatory polyp). | *[[Inflammatory pseudopolyp]] (inflammatory polyp). | ||
**Associated with [[inflammatory bowel disease]]. | **Associated with [[inflammatory bowel disease]]. | ||
*Rectal prolapse. | *Rectal prolapse.{{fact}} | ||
==Rectal prolapse== | ==Rectal prolapse== | ||