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Friends of Endoscopy is all about pattern recognition.  See it today and recognise it tomorrow!   Learn from a New Case on most weekdays !!! 
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A funny looking polyp

7/3/2021

 
This lesion was found in the ascending colon. 
WHAT IS THE MOST LIKELY DIAGNOSIS?
■ Lipoma
Hmm looks too translucent
■ Lymphangioectatic cyst
Well it looks cystic doesn't it!!!
■ GIST
I predict that the pillow sign will be positive
■ Serrated polyp
Doesn't look like a polyp
■ Adenomatous polyp
But the crypt pattern is normal !!!
explanation
The apparent lesion is covered with a normal layer of mucosa. In addition, it seems very soft.  However, the lesion looks more translucent than yellow!   Of course, it's another lymphangioectatic cyst !   Naturally, you confirm this by giving it a prod with your biopsy forceps.  If soft, its either a lipoma or a cyst.  If firm, it's either a GIST, leiomyoma or a metastasis (I guess).  

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