Git case dysplasia in ibd december.
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Git case dysplasia in ibd december.

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GIT Case dysplasia in IBD.

GIT Case dysplasia in IBD.

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  • 1. GIT Case:Dysplasia prevention in IBD Dr.Mohamed Al-Shekhani December 2012
  • 2. :History• 40 years old man presented with BPR.• Colonoscopy revealed endoscopic findings of chronic pan ulcerative colitis with 3 polyps ; 2 in the sigmoid colon & one in the splenic flexture, biopsies taken from the polypoid lesions & the colon as recommended.• He had H/O BPR diagnosed as pancolitis before 10 years.• He stopped his treatment after initial remission with sulphasalazine,inspite of occasional episodes of BPR.
  • 3. Chronic UC with Polypoid :structures
  • 4. Dysplasia/cancer in IBD
  • 5. Dysplasia Associated Lesions or Masses Non Adenoma LikeAdenoma Like Mass or NALM orMass ALM not a NALD or DALM DALM THE DIFFERENCE IS: CAN IT BE REMOVED…. BY WHOM?
  • 6. DIAGNOSIS OF DYSPLASIA Macroscopic heterogeneityFlat Elevated (polyp-like, DALM, ALM)