sandra
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| yasmeen
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A
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| sandra
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i was thinking adeno ca. this pt has no other symptoms like change in owel habits or wt loss
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| sandra
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ooops. typo. i meant villous adenoma
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| yasmeen
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COLON CANCERS CAN BE ASYMPTOMATIC AND CAN PRESENT ONLY WITH ANAEMIA SPECIALLY OF ASCENDING AND TRANSVERSE COLON
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| sandra
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does villous adenoma produce blood in stool? how do u differentiate the 2 by apperance?
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| klimt
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so is it A or E?
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| ManuNastai
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D
vilous are broad based; this is pediculated. it's not cancer 'cause is a well delimited, pedunculate, noninfiltrative, nonulcerated, noninfected mass, so benign
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| spjokes
Forum Senior
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A.
old age and blood in stool and this sort of lesion. carcinoma until proved otherwise by microscopy
Only microscopy can differentiate adenoma and carcinoma.
there is no other way to differentiate them
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| ssrpk
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agree with Manunatsai, besides the classic appearance of villous adenoma -> strawberry on a stick!
villous adenoma has the greatest potential to undergo malignant conformation however, the specimen clearly shows well delineated,tubular, pedunculated and the whole bit, so nothing to suggest tht this has undergone malignant change.
but obviously histopath. is the goldstandard! but the question here only asks, the most-likely diagnosis, so don't get confused, coz sometimes even on boards things are exactly the way they appear!
and spjokes anemia in oldage does'nt necassarily means cancer, infact most common cause of anemia is nutritional one in oldage, but one must rule out cancer first as it is the most dangerous of the other etiologies!
answer is definitely D
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| sandra
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is it pedunculated? i dont see the peduncle
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| new_n_lost
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Enlarge teh Image ppl Its sure looks Pedunculated and also has a strawberry shape which is lying down on colon itself which itself confuses the person so its D
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| ManuNastai
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how can't you see the peduncle? it's the narrow thing lower than the "head" of the tumor
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| bhallaji
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So whats the final answer..............
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