The Endoscopy Archives
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High Resolution Images: Rectal Cancer and Chicken Skin Mucosa
The endoscopic images in this site are mostly quite compressed in order to make the transmissions times as short as possible. Sometimes it is however nice to have high resolution images, for example for publications, text books or lectures. In these "high resolution files" some larger images are displayed.
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Slight Mucosal Changes are frequently seen adjacent to a colorectal cancer or adenoma. First described by Shatz BA et al, they are called Chicken Skin Mucosa (CMS), and are supposed to occur as a result of fat accumulation in macrophages in the lamina propria adjacent to colonic neoplasms. In a series of 852 consecutive colonoscopies CMS was found adjacent to eight of 10 distal colorectal cancers, one of four of proximal colon cancers and 16 of 42 distal adenomas.
Shatz BA, Weinstock LB, Thyssen EP, Mujeeb I, DeSchryver K: Colonic chicken skin mucosa: an endoscopic and histological abnormality adjacent to colonic neoplasms. Am J Gastroenterol 1998 Apr;93(4):623-7
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