Decide on the Spot
A scary looking polyp
These four photographs show a polyp that was found in the high rectum of an elderly patient.
WHAT WOULD YOU DO NEXT?
a) Take a full set of samples and wait for histology findings
b) Take samples and request an endoscopic ultrasound (EUS)
c) Take samples and request staging X-rays
d) Resect the polyp endoscopically
e) Refer the polyp for transanal resection
Aida Jawhari, August 10, 2015 22:16
There are 2 polyps. The larger distal polyp has type IV pits. It is likely to be an invasive lesion. I would take biopsies and arrange staging investigations.
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