Surgical excision of large polyp
RIGHT COLON, TERMINAL ILEUM, APPENDIX, RIGHT HEMICOLECTOMY:
- LARGE TUBULOVILLOUS ADENOMA.
-- NEGATIVE FOR HIGH-GRADE DYSPLASIA.
- TWELVE BENIGN LYMPH NODES ( 0 POSITIVE / 12 ).
- APPENDIX WITHIN NORMAL LIMITS.
- SMALL BOWEL WITH MORPHOLOGICALLY BENIGN MILD LYMPHOID HYPERPLASIA.
- MARGINS NEGATIVE FOR DYSPLASIA.
- NEGATIVE FOR MALIGNANCY.
Cannot get to malignancy
MASS, RECTUM, BIOPSY:
- SUPERFICIAL FRAGMENTS OF TUBULAR ADENOMA WITH HIGH-GRADE DYSPLASIA, SEE COMMENT.
COMMENT:
The clinical suspicion is noted.
Selected slides were reviewed internally and felt to be insufficient to
call malignancy. The presence of malignancy cannot be excluded.
A re-biopsy should be considered within the clinical context.