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Endoscopy 2000; 32(4): 359-360
DOI: 10.1055/s-2000-7375
Case Report
Georg Thieme Verlag Stuttgart ·New York

Eighteen-Year Surveillance of Dysplasia-Associated Lesion in Ulcerative Colitis *

J.  ö. Lindberg 1 , R.  B. Stenling 2 , J.  N. Rutegård 3
  • 1 Department. of Surgery, örnsköldsvik Hospital, örnsköldsvik, Sweden
  • 2 Department of Pathology, Umeå Unviersity Hospital, Umeå, Sweden
  • 3 Departments of Surgery and Pathology, Umeå University Hospital, Umeå, Sweden
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Publication History

Publication Date:
31 December 2000 (online)

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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.

References

  • 1 Rosenstock E, Farmer R G, Petras R, et al. Surveillance for colonic carcinoma in ulcerative colitis.  Gastroenterology. 1985;  89 1342-1346
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  • 2 Jonsson B, åhsgren L, Andersson L-O, et al. Colorectal cancer surveillance in patients with ulcerative colitis.  Br J Surg. 1994;  81 689-691
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  • 3 Riddell R H, Goldman H, Ransohoff D F, et al. Dysplasia in inflammatory bowel disease: standardized classification with provisional clinical applications.  Hum Pathol. 1983;  14 931-968
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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