PMC3697959_01
Colonoscopy showing ulcerated nearly obstructing mass 10 cm from the anal verge.
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The colonoscopy done 2 days later revealed an ulcerated nearly obstructing mass 10 cm from the anal verge and another 2 cm polyp 30 cm from the anal verge (Figure 1A and B).
Two centimeter polyp 30 cm from the anal verge.
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She was staged as T2N0 (Figure 2).
Endoscopic ultrasound showing a hyperechoic mass invading the muscularis propria.
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She underwent a computed tomography (CT) scan of her chest and abdomen as part of her metastatic workup which showed the mass to be a large exophytic enhancing mass in the rectosigmoid colon with well delineated lobular contour and central feeding arterial branches highly suggestive of villous adenoma (Figure 3).
Computed tomography scan showing large exophytic enhancing mass in the rectosigmoid colon.
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Her final pathology report came out as large villous adenoma (12 cm) and tubulovillous adenoma (5 cm), both of which were negative for invasive carcinoma (Figure 4).