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?
You need to be logged in to participate.