Case Study
Advanced Bipolar Resection of Rectal Broad-Based Polyp Suspected of Cancer Using SpydrBlade Flex
An 85-year-old male presented with chronic upper right abdominal pain. His medical history included coronary artery disease and a recent myocardial infarction, managed with antiplatelet therapy (acetylsalicylic acid).
Ultrasound revealed multiple liver tumours without the typical halo sign of metastases. A CT scan ruled out other tumour sites but showed rectal wall thickening.
Endoscopic evaluation identified:
- A large, broad-based rectal polyp (4 cm diameter) with an irregular surface, classified as JNET 2b (Paris IIs), raising suspicion for high-grade dysplasia or T1 cancer (Fig.1+2).
- A second polyp (3 cm diameter), classified as JNET 2a (Paris IIs), located in the sigmoid colon within a confined space between diverticula.
A liver biopsy confirmed malignant lymphoma. Considering potential colorectal malignancy, endoscopic resection of both polyps was planned before initiating lymphoma chemotherapy.
Dr Carsten Triller
Head Physician, Gastroenterology
Städtisches Krankenhaus Heinsberg GmbH
