Anorectal biopsy

38 yr, male multiple rectal and sigmoid ulcers. ?? Ulcerative colitis ?? Dysplasia?? What's your opinion..?!?




Cryptitis Stromal inflammation Dysplastic glands. Focal crypt abscess No fissure ulcer No granuloma. Dd. Indeterminate colitis Early UC please correlate with colonoscopic findings

Looks IBD with mild to mod dysplasia ? Ulcerative colitis with malignant transformation

Amoebic colitis must be considered. Structures resembling amoebae with eosinophils are seen.

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