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2009, Number 1

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Rev Med Inst Mex Seguro Soc 2009; 47 (1)

Leukoplakia of the Anal Verge with Bleeding Hemorrhoids. A Case Report

Pravin JG

Language: English
References: 9
Page: 101-102
PDF size: 146.29 Kb.


ABSTRACT

We present a case of a 45 year old patient who reported bleeding hemorrhoids. He had grade II hemorrhoids and was found to have a circumferential leukoplakic lesion at the anal verge. The patient had no symptoms of leukoplakia. The hemorrhoids were ablated with a Ellman radiowave device. Histological findings of the incised lesion from the verge showed hyperkeratosis and acanthosis extending cephalad from the anal verge to the dentate line. Follow up after 5 years revealed no evidence of dysplastic changes in the leukoplakic lesion. Because of the varied opinion regarding the fate of leukoplakia of the anal canal, the patients should be followed carefully to detect any malignant transformation of the lesion.


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