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A 68-year-old patient with a BMI of 28.5 kg/m2 and a previous clinical history of rectal bleeding for 2 years due to a hemorrhoidal pathology that required sclerotherapy. Subsequently, a colonoscopy was performed in which a neoplasm of the rectum was observed 8 cm from the anal verge. Biopsy showed a well differentiated adenocarcinoma. The study was completed with an MRI that showed a mid-rectal cancer T3aN1M0, EMVI(-), CRM(-); a CT scan with no distant metastasis and blood test with CEA 3.1