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.
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?