A 54-year-old female presented for her initial screening colonoscopy and was found to have a 35mm LST- mixed lesion in the rectum extending to the dentate line.
The lesion demonstrated a central nodule and contained depressed areas within the periphery. Biopsies revealed tubular adenoma with high-grade dysplasia.
The referring physician initially referred the patient to the colorectal surgeons due to the proximity of the lesion to the dentate line and the potential for a high-grade lesion. After discussion with the patient and the colorectal surgeon, the patient was referred to us to consider endoscopic resection to avoid potential surgical complications and injury to the anal sphincter.
Dr Salmaan Jawaid MD,
Advanced Tissue Resection
Baylor College of Medicine / St Lukes Medical Center Assistant Professor of Medicine, USA