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Colorectal Case 12

A/Prof. Stephen Tsao
Singapore
Procedure Information


Scope: CF-XZ1200

Case Findings: JNET2a Colonic Polyp

Patient information: Male, 60 years old

Medical history: Previously fit and well; had FIT positive during screening

1. WLI observation

Clear and focused white light image of the tumour to allow detail inspection on the morphology of the lesion.

2. WLI with magnification observation

Clear and focused close up image with mild degree of optical magnification. Allow close inspection of tumour and identification of demarcation line.

3. TXI Observation

In TXI mode, the coloration of vascular pattern was enhanced amongst the background making identification easier. From this clear focused image microvascular pattern can be seen.

4. NBI Observation with optical magnification

Under NBI and optical magnification microsurface pattern and microvascular pattern of this tumour can clearly be observed. An accurate optical diagnosis can be made: JNET 2a or NICE type B polyp suitable for endoscopic resection.

Case Video

Overall Comment

EVIS X1 with CF-XZ1200 colonoscope provide excellent image quality over previous generations of endoscope system.  The clarity and resolution of the endoscopic image are excellent, with the help of TXI function this will enhance the identification of lesions during examination.  Once a lesion has been identified, the clear focused image contribute accurate detailed examination of morphology of the lesion.  The excellent image quality extends to NBI mode, and together with optical magnification accurate characterisation of the lesion can be made.  Ultimately this will help the endoscopist to make an accurate assessment of the lesion and subsequent treatment proposal.

* Specifications, design and accessories are subject to change without any notice or obligation on the part of the manufacturer

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