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Difference between revisions of "Inflammatory bowel disease"
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→Dysplasia-associated lesion or mass: tweak
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*This diagnosis depends on correlation of endoscopy and histopathology - '''important'''.<ref name=pmid21912466>{{Cite journal | last1 = Neumann | first1 = H. | last2 = Vieth | first2 = M. | last3 = Langner | first3 = C. | last4 = Neurath | first4 = MF. | last5 = Mudter | first5 = J. | title = Cancer risk in IBD: how to diagnose and how to manage DALM and ALM. | journal = World J Gastroenterol | volume = 17 | issue = 27 | pages = 3184-91 | month = Jul | year = 2011 | doi = 10.3748/wjg.v17.i27.3184 | PMID = 21912466 }}</ref> | *This diagnosis depends on correlation of endoscopy and histopathology - '''important'''.<ref name=pmid21912466>{{Cite journal | last1 = Neumann | first1 = H. | last2 = Vieth | first2 = M. | last3 = Langner | first3 = C. | last4 = Neurath | first4 = MF. | last5 = Mudter | first5 = J. | title = Cancer risk in IBD: how to diagnose and how to manage DALM and ALM. | journal = World J Gastroenterol | volume = 17 | issue = 27 | pages = 3184-91 | month = Jul | year = 2011 | doi = 10.3748/wjg.v17.i27.3184 | PMID = 21912466 }}</ref> | ||
**Biopsies are usually taken of the lesion and around the base. | **Biopsies are usually taken of the lesion and around the base. | ||
*This diagnosis usually leads to a [[colectomy]]. | |||
===Gross=== | |||
*Endoscopically "suspicious", i.e. endoscopist thinks this is a DALM - '''essential feature'''. | |||
**Usually have a positive lifting sign. | |||
===Microscopic=== | ===Microscopic=== | ||
Features: | Features: | ||
*Cytologic dysplasia - as in [[adenomatous polyps]] - '''key feature'''. | |||
*Flat or polypoid.<ref name=pmid7450425/> | *Flat or polypoid.<ref name=pmid7450425/> | ||
DDx: | DDx: | ||