Inflammatory/Infection Bowel Disease

Question 1

How much is the incidence of diverticulosis?

Between western country and less developed country, which one is more common?

According to Ferderle 2nd edition.

Answer 1

Epidemiology
• 33-50% of pts> 5O years have diverticulosis
• > 50% of pts> 80 years have diverticulosis
• Can occur in young adults< 30 years of age
____________
Most common colonic dz in Western world
Rare in less developed countries
(less processed food, diet with higher fiber content)

Question 2

When to suspected mass in (tumor) in appendix?

Answer 2

• Diameter greater than 1.5 cm
• Focal soft tissue density

Both findings give Specificity about 90%
1 findings give Specificity about 80%

Question 3

Major classified of carcinoma in appendix ประกอบด้วยอะไรบ้าง?

Answer 3

1st Adenocarcinoma mucinous type
2nd Carcinoid tumor
3rd Adenocarcinoma non-mucinous type
「When encounter, metastasis should be considered, Patho จะส่ง special stain เพิ่ม」