Git case dysplasia in ibd december.

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GIT Case: Dysplasia prevention in IBD Dr.Mohamed Al-Shekhani December 2012

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Transcript of Git case dysplasia in ibd december.

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GIT Case:Dysplasia prevention in IBD

Dr.Mohamed Al-Shekhani

December 2012

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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.

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Chronic UC with Polypoid structures:

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Dysplasia/cancer in IBD

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Dysplasia AssociatedLesions or Masses

Adenoma Like

Mass ALM not a

DALM

Non Adenoma Like

Mass or NALM or

NALD or DALM

THE

DIFFERENCE

IS: CAN IT BE

REMOVED….

BY WHOM?

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DIAGNOSIS OF DYSPLASIA Macroscopic heterogeneity

FlatElevated (polyp-like, DALM, ALM)

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