Saturday, January 25, 2014

Colonic adenoma

Adenoma-general of colon
Known case of colonic carcinoma operated 2 years back.
Colonoscopy shows small polyp 2 mm close to anastemosis site.
Colonic adenom is a a premalignant lesion. Are present  polypoid areas of epithelial dysplasia.
In photo we see in left part of image normal glands of colon.  In right is the lesion.  Cytological and architectural changes  are in favour of  dysplasia;
Nuclei are enlarged, hyperchromatic .Nuclei are stratified.  architectural changes  and loss of polarity are minimal.
 Reduced mucin of cells.
Conclusion is: low  grade dysplasia present in colonic  adenoma.
Treatment is chirurgicaly excision of adenoma and  monitorize the pacient.

No comments:

Post a Comment