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

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

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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
• 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

1 This paper was presented as an abstract to the 37th World Congress of Surgery, Acapulco, Mexico, August 1997.