GIT Case:Dysplasia prevention in IBD    Dr.Mohamed Al-Shekhani        December 2012
:History• 40 years old man presented with BPR.• Colonoscopy revealed endoscopic findings of  chronic pan ulcerative coliti...
Chronic UC with Polypoid       :structures
Dysplasia/cancer in IBD
Dysplasia Associated      Lesions or Masses                                 Non Adenoma LikeAdenoma Like                  ...
DIAGNOSIS OF DYSPLASIA             Macroscopic heterogeneityFlat        Elevated (polyp-like, DALM, ALM)
Git case dysplasia in ibd december.
Git case dysplasia in ibd december.
Git case dysplasia in ibd december.
Git case dysplasia in ibd december.
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.

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Git case dysplasia in ibd december.

  1. 1. GIT Case:Dysplasia prevention in IBD Dr.Mohamed Al-Shekhani December 2012
  2. 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. 3. Chronic UC with Polypoid :structures
  4. 4. Dysplasia/cancer in IBD
  5. 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. 6. DIAGNOSIS OF DYSPLASIA Macroscopic heterogeneityFlat Elevated (polyp-like, DALM, ALM)

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