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Rectal polyp removed positive for adenocarcinoma
Posted in Debates on 13 July 2015

A 56-year-old male patient with T2DM and a HBP and no other relevant history. As a result of an occult blood test positive a colonoscopy was performed. A rectal polyp was found 7 cm from the anal verge and removed. Histopathology revealed the following:

1) Most of the polyp is a moderately differentiated adenocarcinoma, infiltrating the muscularis mucosa and penetrating the submucosa.

2) The edge deep neoplasia is very invasive and less than 1 mm from the deep resection margin.

3) Peripheral changes in the Tubular adenoma.

What would the best strategy to follow be?

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