Melanosis Coli (cont.)
How is melanosis coli diagnosed?
Melanosis coli can be observed during endoscopic
procedures that examine the large intestine, such as colonoscopy and sigmoidoscopy
. Sometimes the diagnosis is made upon microscopic examination of
biopsies taken during endoscopic procedures.
What is the prognosis (outcome) of melanosis coli?
If a person stops using anthranoid laxatives, the changes associated with melanosis coli lessen over
time and may disappear.
Early studies suggested that anthranoid laxatives might
have carcinogenic or tumor-promoting activities in humans and that the presence
of melanosis coli might signal an increased risk for the development of
colorectal cancer. However, more recent follow-up studies have failed to show an
association between colon cancer and anthranoid laxative use or between colon
cancer and the
finding of melanosis coli.
Last Editorial Review: 6/24/2005
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