19816630 Visualization

A 60 Age - year Age - old Age man Sex who underwent colonoscopy Diagnostic_procedure was found to have a 2 Distance cm Distance sessile Sign_symptom polyp Sign_symptom that was located 10 Distance cm Distance from the anal Biological_structure verge Biological_structure and successfully Therapeutic_procedure removed Therapeutic_procedure .
The polyp Coreference was a tubulovillous Disease_disorder adenoma Disease_disorder with focal high Sign_symptom - grade Sign_symptom dysplasia Sign_symptom .
A flexible Diagnostic_procedure sigmoidoscopy Diagnostic_procedure performed three Date months Date later Date , as well as a repeat Detailed_description colonoscopy Diagnostic_procedure one Date year Date after Date the Date initial Date colonoscopy Date , were both negative Lab_value for recurrence.
A colonoscopy Diagnostic_procedure performed three Date years Date after Date the Date initial Date colonoscopy Date revealed a sessile Sign_symptom polyp Sign_symptom , 3 Distance cm Distance in size, at 10 Distance cm Distance from the anal Biological_structure verge Biological_structure .
Biopsies Diagnostic_procedure were taken and reported to be fragments of a villous Disease_disorder adenoma Disease_disorder with low Sign_symptom - grade Sign_symptom dysplasia Sign_symptom .
Due to the previous high-grade dysplasia, relatively rapid recurrence and concern that a cancer may have been missed by sampling error, a pelvic Biological_structure magnetic Diagnostic_procedure resonance Diagnostic_procedure imaging Diagnostic_procedure ( MRI Diagnostic_procedure ) scan and an endoscopic Diagnostic_procedure ultrasound Diagnostic_procedure ( EUS Diagnostic_procedure ) were performed before definitive excision.
The MRI Coreference revealed an invasive Detailed_description rectal Biological_structure mass Sign_symptom involving the muscularis Biological_structure propria Biological_structure but without breach of the adventitia, consistent with a T2 Disease_disorder rectal Disease_disorder carcinoma Disease_disorder (Figure 1).
No pelvic Biological_structure lymphadenopathy Sign_symptom was detected.
The EUS Coreference revealed a rectal Biological_structure mass Sign_symptom involving the mucosa Biological_structure and submucosa Biological_structure , with no involvement of the muscularis propria (Figure 2).
The results of the MRI and EUS, as well as the surgical versus endoscopic resection treatment options, were discussed with the patient, who opted for a surgical Therapeutic_procedure resection Therapeutic_procedure .
The patient underwent a low Therapeutic_procedure anterior Therapeutic_procedure resection Therapeutic_procedure and end Therapeutic_procedure - to Therapeutic_procedure - end Therapeutic_procedure anastomosis Therapeutic_procedure with loop Therapeutic_procedure ileostomy Therapeutic_procedure .
Pathology Diagnostic_procedure review Diagnostic_procedure of the resected Biological_structure rectosigmoid Biological_structure revealed a villous Disease_disorder adenoma Disease_disorder with low Sign_symptom - grade Sign_symptom dyplasia Sign_symptom .
There was no evidence of muscularis Sign_symptom propria Sign_symptom invasion Sign_symptom , and a total of five Lab_value pericolic Biological_structure and two Lab_value mesorectal Biological_structure lymph Biological_structure nodes Biological_structure were excised Therapeutic_procedure and deemed benign Sign_symptom .
The patient underwent ileostomy Therapeutic_procedure reversal Therapeutic_procedure five Date months Date later Date .
He remains asymptomatic Sign_symptom with no recurrence Sign_symptom of Sign_symptom tumours Sign_symptom .