This lesion was found in the ascending colon and referred for removal.
WHAT IS THE LIKELY DIAGNOSIS?
a) HP
You must be joking!
b) SSL
You are not serious?
c) TA
Short slit-like crypts, well Yes but there is more to it!
d) TVA
Absolutely not!
e) Cancer
That non-lifting sign doesn't lie!
explanation
Must admit that I didn't like the look of this polyp. Sure, it does have an organised crypt pattern. I think that I can see short slits, making it a TA. This would fit with the fact that it probably is a LST-NG type of lesion (which are always TA's).
However, it also looks, 'chunky' and it's the 'thickness' of the lesion which made me suspicious. For this reason I was not surprised to find the non-lifting sign. As there is no lifting what-so-ever, I suspect that the lesion will turn out to be T2 at least. |
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