Relation of malignancy with ulcerative colitis

Q) A patient has ulcerative colitis with pan colitis. He is on medications and screening endoscopy 10 years later show high grade dysplasia. What is the management now?

a) Nothing for now and repeat colonscopy after 1 year

b) Total proctocolectomy

c) Resect the segment with high grade dysplasia

d) Increase the steroid dose

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