醫生您好 母親（63）1月底去照大腸鏡 發現直腸部位有3到4公分潰瘍 醫生說三月時候在照一次看有比較好嗎 三月照完 發現潰瘍地方還是一樣 開了軟便劑給我們 說六月再看一次 請問醫生 直腸潰瘍沒藥物治療嗎？ 直腸潰瘍常見嗎？會癌化嗎？ 直腸潰瘍跟潰瘍性直腸炎一樣嗎？ 在麻煩您做解答 附上切片的報告給您 再麻煩您給答覆很擔心母親身體謝謝。Pathologic diagnosis Rectum endoscopic biopsy --- Ulcer with mucosal hyperplasia chronic active inflammation and focal glandular atypia. See Comment. Ancillary study for diagnosis 1. PAS and acid-fast stains done. No fungal element or acid-fast mycobacteria found. 2. Recut andIHC stains for CMV - AE1AE3 highlight epithelial cells and p53 mild increased expression done. Gross description The specimen consists of 4 pieces of tan soft tissue up to 0.2x0.1x0.1 cm. All for section. Microscopic description Section shows rectal mucosa with ulcer mucosal hyperplasia acute and and focal glandular atypia. Comment Mucosal prolapse polyp with ulceration can be considered. The focal glandular atypia may be ulcer-related. However the specimen is limited and may be non-representative for the entire lesion. If invasive adenocarcinoma is highly suspected clinically rebiopsy is suggested. T-596002 M-380002 0 1340 000000 T-596002 M-670302 0 1340 000000
良性肛門潰瘍在老人常見，配合治療追蹤即可。