title: Pathology of dysplasia and cancer in inflammatory bowel disease.
abstract: In both Crohn's disease and ulcerative colitis, colorectal cancer (CRC) secondary prevention basically relies on the histology detection of dysplasia. In inflammatory bowel diseases (IBD) setting, dysplasia identifies the subgroup of patients eligible to a (more) strict surveillance program (or prophylactic colectomy). In the clinical practice, a number of issues might affect the benefit of the clinico-pathological surveillance of the IBD-dysplasia-patients: sampling errors, inconsistency in biopsy assessment, patients' drop-out, etc. Even in such a multifaceted context, evidence has been provided that surveillance of dysplasia is effective in reducing both CRC mortality and morbidity. This manuscript focuses on current issues concerning the histology assessment of the IBD-associated dysplastic lesions.
authors.affiliation: Dept. of Diagnostic Medical Sciences & Special Therapies, University of Padua, Italy.
authors.forename: Claudia
authors.initials: C
authors.lastname: Mescoli
authors.forename: Mauro
authors.initials: M
authors.lastname: Frego
authors.forename: Massimo
authors.initials: M
authors.lastname: Rugge
mesh_terms: D015179:Colorectal Neoplasms / Q000209:etiology* / Q000473:pathology; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications* / Q000473:pathology*