QUIZ. WHAT IS YOUR DIAGNOSIS?

Ea-sle Chang; Piotr Bachul; Mirosław Szura; Joanna Szpor; Krzysztof Okoń; Jerzy A. Walocha

doi:10.5114/pjp.2013.39346

eISSN: 2084-9869
ISSN: 1233-9687

Polish Journal of Pathology

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2/2015
vol. 66

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abstract:

QUIZ. WHAT IS YOUR DIAGNOSIS?

Ea-sle Chang

,

Piotr Bachul

,

Mirosław Szura

,

Joanna Szpor

,

Krzysztof Okoń

,

Jerzy A. Walocha

Pol J Pathol 2015; 66 (2):206-207

DOI: https://doi.org/10.5114/pjp.2013.39346

Online publish date: 2015/11/20

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A 23 year-old female with anemia presented with several episodes of fresh blood in the stools. During elective colonoscopy, a 5 cm sessile polyp located 15 cm from the anal verge was discovered and partially excised. Histopathological examination showed an adenomatous polyp with high-grade dysplasia and small foci of adenocarcinoma , consequently the patient was qualified for laparoscopic anterior resection of the rectum. During the laparoscopic procedure, diffuse black discoloration of the parietal peritoneum, greater omentum (Fig. 1), mesenteric lymph nodes and ovaries was discovered. Because of the suspicion of advanced metastatic intraperitoneal melanoma, biopsies of the lesions were taken and the laparoscopic anterior rectal resection was postponed.

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QUIZ. WHAT IS YOUR DIAGNOSIS?

Ea-sle Chang , Piotr Bachul , Mirosław Szura , Joanna Szpor , Krzysztof Okoń , Jerzy A. Walocha

Ea-sle Chang

,

Piotr Bachul

,

Mirosław Szura

,

Joanna Szpor

,

Krzysztof Okoń

,

Jerzy A. Walocha