Difference between revisions of "Inflammatory bowel disease"

Line 208:

#CUTE = Colitis of uncertain type or etiology.

#*Should be reserved for resection specimens only.

==Dysplasia-associated lesion or mass==

*Abbreviated ''DALM''.

===General===

*Proving invasive malignancy in the setting of chronic inflammation is difficult.<ref name=pmid7450425>{{Cite journal | last1 = Blackstone | first1 = MO. | last2 = Riddell | first2 = RH. | last3 = Rogers | first3 = BH. | last4 = Levin | first4 = B. | title = Dysplasia-associated lesion or mass (DALM) detected by colonoscopy in long-standing ulcerative colitis: an indication for colectomy. | journal = Gastroenterology | volume = 80 | issue = 2 | pages = 366-74 | month = Feb | year = 1981 | doi = | PMID = 7450425 }}</ref>

===Microscopic===

Features:

*Flat or polypoid.<ref name=pmid7450425/>

*Cytologic dysplasia - as in [[adenomatous polyps]].

DDx:

*Sporadic [[adenomatous polyp]].

**Several papers have been written on differentiating 'em.<ref name="Suzuki-1998">{{Cite journal | last1 = Suzuki | first1 = K. | last2 = Muto | first2 = T. | last3 = Shinozaki | first3 = M. | last4 = Yokoyama | first4 = T. | last5 = Matsuda | first5 = K. | last6 = Masaki | first6 = T. | title = Differential diagnosis of dysplasia-associated lesion or mass and coincidental adenoma in ulcerative colitis. | journal = Dis Colon Rectum | volume = 41 | issue = 3 | pages = 322-7 | month = Mar | year = 1998 | doi = | PMID = 9514427 }}</ref>

<ref name="Fogt-2000">{{Cite journal | last1 = Fogt | first1 = F. | last2 = Urbanski | first2 = SJ. | last3 = Sanders | first3 = ME. | last4 = Furth | first4 = EE. | last5 = Zimmerman | first5 = RL. | last6 = Deren | first6 = JJ. | last7 = Noffsinger | first7 = AE. | last8 = Vortmeyer | first8 = AO. | last9 = Hartmann | first9 = CJ. | title = Distinction between dysplasia-associated lesion or mass (DALM) and adenoma in patients with ulcerative colitis. | journal = Hum Pathol | volume = 31 | issue = 3 | pages = 288-91 | month = Mar | year = 2000 | doi = | PMID = 10746669 }}</ref>

==See also==

Difference between revisions of "Inflammatory bowel disease"

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@@ Line 208: / Line 208: @@
 #CUTE = Colitis of uncertain type or etiology.
 #*Should be reserved for resection specimens only.
+==Dysplasia-associated lesion or mass==
+*Abbreviated ''DALM''.
+===General===
+*Proving invasive malignancy in the setting of chronic inflammation is difficult.<ref name=pmid7450425>{{Cite journal  | last1 = Blackstone | first1 = MO. | last2 = Riddell | first2 = RH. | last3 = Rogers | first3 = BH. | last4 = Levin | first4 = B. | title = Dysplasia-associated lesion or mass (DALM) detected by colonoscopy in long-standing ulcerative colitis: an indication for colectomy. | journal = Gastroenterology | volume = 80 | issue = 2 | pages = 366-74 | month = Feb | year = 1981 | doi =  | PMID = 7450425 }}</ref>
+===Microscopic===
+Features:
+*Flat or polypoid.<ref name=pmid7450425/>
+*Cytologic dysplasia - as in [[adenomatous polyps]].
+DDx:
+*Sporadic [[adenomatous polyp]].
+**Several papers have been written on differentiating 'em.<ref name="Suzuki-1998">{{Cite journal  | last1 = Suzuki | first1 = K. | last2 = Muto | first2 = T. | last3 = Shinozaki | first3 = M. | last4 = Yokoyama | first4 = T. | last5 = Matsuda | first5 = K. | last6 = Masaki | first6 = T. | title = Differential diagnosis of dysplasia-associated lesion or mass and coincidental adenoma in ulcerative colitis. | journal = Dis Colon Rectum | volume = 41 | issue = 3 | pages = 322-7 | month = Mar | year = 1998 | doi =  | PMID = 9514427 }}</ref>
+<ref name="Fogt-2000">{{Cite journal  | last1 = Fogt | first1 = F. | last2 = Urbanski | first2 = SJ. | last3 = Sanders | first3 = ME. | last4 = Furth | first4 = EE. | last5 = Zimmerman | first5 = RL. | last6 = Deren | first6 = JJ. | last7 = Noffsinger | first7 = AE. | last8 = Vortmeyer | first8 = AO. | last9 = Hartmann | first9 = CJ. | title = Distinction between dysplasia-associated lesion or mass (DALM) and adenoma in patients with ulcerative colitis. | journal = Hum Pathol | volume = 31 | issue = 3 | pages = 288-91 | month = Mar | year = 2000 | doi =  | PMID = 10746669 }}</ref>
 ==See also==