Invisible colonic dysplasia: Difference between revisions
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==General== | ==General== | ||
*The reason for random biopsies in inflammatory bowel disease. | *The reason for random biopsies in [[inflammatory bowel disease]]. | ||
*Relatively uncommon - one series of [[ulcerative colitis]] patients estimated ~12% of lesions are "invisible".<ref>{{cite journal |authors=Blonski W, Kundu R, Lewis J, Aberra F, Osterman M, Lichtenstein GR |title=Is dysplasia visible during surveillance colonoscopy in patients with ulcerative colitis? |journal=Scand J Gastroenterol |volume=43 |issue=6 |pages=698–703 |date=2008 |pmid=18569987 |doi=10.1080/00365520701866150 |url=}}</ref> | *Relatively uncommon - one series of [[ulcerative colitis]] patients estimated ~12% of lesions are "invisible".<ref>{{cite journal |authors=Blonski W, Kundu R, Lewis J, Aberra F, Osterman M, Lichtenstein GR |title=Is dysplasia visible during surveillance colonoscopy in patients with ulcerative colitis? |journal=Scand J Gastroenterol |volume=43 |issue=6 |pages=698–703 |date=2008 |pmid=18569987 |doi=10.1080/00365520701866150 |url=}}</ref> | ||
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Comment: | Comment: | ||
If the tissue was NOT a polyp on endoscopy, close follow-up, a re-examination of the history/family history and re-biopsies | If the tissue was NOT a polyp on endoscopy, close follow-up, a re-examination of the history/family history and re-biopsies are suggested. | ||
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===Alternate=== | |||
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Rectum, Biopsy: | |||
- Polypoid fragment of rectal mucosa with LOW-GRADE DYSPLASIA, see comment. | |||
- NEGATIVE for high-grade dysplasia and NEGATIVE for malignancy. | |||
Comment: | |||
The histomorphology would be in keeping with a tubular adenoma; however, this specimen was not submitted as a polyp. Clinical correlation is recommended. Close follow-up with re-biopsy is suggested. | |||
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