| 궤양성 대장염 환자에서 고도의 이형성을 동반한 용종 1예 |
| 이한효·정성애·김성은·나윤주·김희선·남준식·염문선·심기남·유 권·문일환 |
| 이화여자대학교 의과대학 내과학교실 |
| A Case of Polyp with High Grade Dysplasia in Ulcerative Colitis |
| Han-Hyo Lee, M.D., Sung-Ae Jung, M.D., Seong-Eun Kim, M.D., Yoon-Joo Na, M.D., Hee-Sun Kim, M.D., Jun-Sik Nam, M.D., Moon-Sun Yeoum, M.D., Ki-Nam Shim, M.D., Kwon Yoo, M.D. and Il Hwan Moon, M.D. |
| Department of Internal Medicine, College of Medicine, Ewha Womans University, Ewha Medical Research Center, Seoul, Korea |
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| Abstract |
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Patients with ulcerative colitis (UC) have the increased risk of colorectal cancer. The risk of colorectal cancer development in UC is associated with the extent of colitis and duration of disease. It is generally agreed that there is little or no increased risk associated with proctitis or proctosigmoiditis. A dysplasia-associated lesion or mass (DALM) is difficult to distinguish from sporadic adenoma. The DALM indicate a high association with colon cancer. The presence of DALM as a premalignant lesion has been considered as an indication for colectomy because of the high risk of progression to malignancy within a short period. We report a case of polyp with high grade dysplasia in a 27-year-old man of ulcerative colitis confined to rectum and sigmoid colon. (Korean J Gastrointest Endosc 2004;29: 4649) |
| Key Words:
Ulcerative colitis, Polyp, DALM (dysplasia- associated lesion or mass) |
| 주요어:
궤양성 대장염, 용종, 이형성성 병변 또는 종괴 |
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