Management of colonic dysplasia and adenomas

The major problems with the management of dysplasia in the large bowel are few when dealing with adenomas or invasive carcinomas. Many more problems arise in the clinical and pathologic management of dysplasia in inflammatory bowel disease. The interesting question of dysplasia occurring in other polyps remains intriguing, and particularly the notion that hyperplastic and adenomatous polpys tend to occur in the same segment of bowel and therefore may have the same predisposing factor. We hope that by the time the next volume of the monograph is published on gastrointestinal pathology, all of these problems will have been resolved.