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.
Lindberg
J O
JO
Department of Surgery, Ornsköldsvik Hospital, Sweden. jan.lindberg@lvn.se
Stenling
R B
RB
Rutegard
J N
JN
D000368:Aged; D003082:Colectomy; D003093:Colitis, Ulcerative / Q000150:complications* / Q000473:pathology; D003111:Colonic Polyps / Q000150:complications* / Q000473:pathology / Q000601:surgery; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012004:Rectal Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D012811:Sigmoid Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery