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Today's spot diagnosis!
  Why don't you join us ?

Here are three colonic polyps. One is a TA+LGD, another a TA+HGD and one is a TVA+HGD
WHICH POLYP IS THE TVA?
a) A
a) B
c) C
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Click to reveal answer !
C !
​Click on 'Quiz Cases' in the menu bar for an explanation
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This gastric lesion is found in an 85 yr old man. Samples have confirmed a moderately differentiated gastric cancer but the lesion can't be seen on CT. The patient is frail with multiple comorbidities and declines both an endoscopic resection and surgery.  However, he does ask how long it will take before he dies from the cancer?
WHAT WILL YOU ANSWER?
a) 1-2 yrs
b) 2-3 yrs
c) 3-4 yrs
d) 4-5 yrs
e) >5 yrs
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Click to reveal answer
The answer to the question is therefore E.  Click on Quiz Cases in the toolbar for an explanation
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This patient underwent a CT angiogram for chest pain. The angiogram was unremarkable but the radiologist mentions an 'irregularity at the caecal pole with hyperenhancement and mild adjacent fat stranding' and recommend colonoscopy. After the examination your patient asks you if you have found anything
WHAT WILL YOU TELL YOUR PATIENT
a) Reassure the patient
b) Tell him to wait for the histology
c) Tell him that we will organise an MRI scan next
d) Tell him that we will organise an EUS next
e) Tell him that we will organise a 'staging' chest/abdomen/pelvic CT
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CLICK TO REVEAL ANSWER
This is a cancer and you need to request staging CT's of the chest, abdomen and pelvis! 

lick on the link to our 'Quiz cases' above if you would like a more detailed explanation. 
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