Colorectal Case 18
Dr. Serhii Polishchuk
Gastrointestinal endoscopist at LLC “GASTROCENTER” Olymed; Trainer at NGO “EndoAcademy”, Ukraine
Scope: CF-XZ1200I
Organ: Colon (transverse colon)
Patient information: 59y.o. female come for screening colonoscopy
Medical history: No family history of CRC. No alcohol abuse, smoker
1. Tubular adenoma with LGD
NBI Color Mode 3 Enhancement: B8
2. Tubular adenoma with LGD
NBI Color Mode 3 Enhancement: B8
3. Tubular adenoma with LGD
NBI Color Mode 3 Enhancement: B8
4. Tubular adenoma with LGD
NBI Color Mode 3 Enhancement: B8
5. Tubular adenoma with LGD
NBI Color Mode 3 Enhancement: B8
6. Tubular adenoma with LGD
Texture and Color Enhancement Imaging (TXI): Mode 1
7. Tubular adenoma with LGD
Texture and Color Enhancement Imaging (TXI): Mode 1
8. 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: transverse colon
Size: ~ 2mm
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 19: LST-NG-PD (Pseudo-depressed type), pT1a colonic cancer
Dr. Ho Dang Quy Dung
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