The case of a 65 year old patient with ulcerative colitis is reported, who had a dysplasia-associated lesion or mass (DALM) in her rectum. Refusing surgery after detection of the lesion and on follow-up, she underwent surgery only 18 years later when frank carcinoma (Dukes C) was detected. Even if DALM may take a variable course, surgical excision is still highly recommended.
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1 This paper was presented as an abstract to the 37th World Congress of Surgery, Acapulco, Mexico, August 1997.
Jan ö. Lindberg
Dept. of Surgery örnsköldsvik Hospital
89189 örnsköldsvik
Sweden
Phone: + 46-660-89070
Email: jan.lindberg@lvn.se
