Colorectal Case 14
Dr. Serhii Polishchuk
Gastrointestinal endoscopist at LLC “GASTROCENTER” Olymed; Trainer at NGO “EndoAcademy”, Ukraine
Scope: CF-EZ1500DL
Organ: Colon (splenic flexure of the colon)
Patient information: 63 y.o. female, screening colonoscopy
Medical history: No family history of CRC. No alcohol abuse, no smoking.
1. Tubular adenoma with LGD
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2. Tubular adenoma with LGD
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3. Tubular adenoma with LGD
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4. Tubular adenoma with LGD
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5. Tubular adenoma with LGD
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6. Tubular adenoma with LGD
Texture and Color Enhancement Imaging (TXI): Mode 1
Case Video
Tubular adenoma with LGD - JNET2A
Overall Comment
The final optical diagnosis in this case was:
Location: splenic flexure of the colon
Size: ~8mm
Morphology (Paris classification): 0-ІIa
Pit pattern: IIIL (Kudo classification: tubular pit pattern)
JNET classification: JNET2A (vessel pattern – regular caliber of vessels and regular distribution of meshed vessels; regular tubular surface pattern)
Optical diagnosis: Tubular adenoma with LGD
Treatment: cold snare polypectomy (CSP)
Pathology report: Tubular adenoma with low grade dysplasia (ICD-O code: 8211/0). No signs of cytological dysplasia in resection margins (complete removal).
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Dr. Serhii Polishchuk Case 15: Tubular adenoma with HGD - JNET2B
Dr. Serhii Polishchuk
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