Colorectal Case 15
Dr. Serhii Polishchuk
Gastrointestinal endoscopist at LLC “GASTROCENTER” Olymed; Trainer at NGO “EndoAcademy”, Ukraine
Scope: CF-EZ1500DL
Organ: Colon (sigmoid colon)
Patient information: 52y.o. female come for screening colonoscopy with FIT positive test
Medical history: No family history of CRC. No alcohol abuse, no smoking
1. Tubular adenoma with HGD
Texture and Color Enhancement Imaging (TXI): Mode 1
2. Tubular adenoma with HGD
Texture and Color Enhancement Imaging (TXI): Mode 1
3. Tubular adenoma with HGD
NBI Color Mode 3
Enhancement: A5
4. Tubular adenoma with HGD
NBI Color Mode 3
Enhancement: A5
5. Tubular adenoma with HGD
NBI Color Mode 3
Enhancement: A5
6. Tubular adenoma with HGD
NBI Color Mode 3
Enhancement: A5
7. Tubular adenoma with HGD
NBI Color Mode 3
Enhancement: A5
Case Video
Tubular adenoma with HGD - JNET2B
Overall Comment
The final optical diagnosis in this case was:
Location: sigmoid colon
Size: ~12mm
Morphology (Paris classification): 0-Іp
Pit pattern: Kudo classification IIIL+Vi
JNET classification: JNET2B (vessel pattern – irregular caliber of vessels and irregular distribution of vessels; irregular surface pattern)
Optical diagnosis: Tubular adenoma with HGD
Treatment: hot snare polypectomy (HSP)
Pathology report: Tubular adenoma with HGD (ICD-O code: 8211/2). No signs of cytological dysplasia in resection margins (complete removal)
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Dr. Serhii Polishchuk Case 16: SM deep invasive cancer of colon - JNET3
Dr. Serhii Polishchuk
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