Colon ulcer - Forum

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Scalpel

Colon ulcer - Ärzteforum

Post#1 »

78 year old male, had right hemicolectomy for colon cancer many years ago followed by reop for starch peritonitis.

Repeat routine follow-up type colonoscopy (most recent previous was 3-5 years ago) showed flat small (less than 1 cm) apparent healed ulcer (white patch with slight surrouding erythema) in sigmoid colon and very narrow anastomosis with inflammation on colon side (not biopsied). No obstructive symptoms.

Flat ulcer from sigmoid biopsied and Path shows tubular adenoma with focal nuclear atypia. This didn't look like any polyp I have seen in thousands of colonoscopies and it is definitely not something I could remove with a polypectomy or hot biopsy.

What would you do?


सर्जन

Re: Colon ulcer - Ärzteforum

Post#2 »

You need to do a closer colonoscopic follow-up i.e. six monthly,and biopsy from the lesion if it persist.

Scalpel

Re: Colon ulcer - Ärzteforum

Post#3 »

Thanks for the responses about the completely flat whitish less than 1 cm lesion that my Pathologist called a tubular adenoma with nuclear atypia. There is a type of tubular adenoma that is called a flat adenoma. It can become malignant when only a few mm in diameter. My Pathologist looked at the colonoscopic picture and shared the micro slides with other Pathologists and that is what they think it is.

So I learned something. I really never saw this type of lesion before or if I did I must have missed it.

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