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A 78-year-old man was admitted to the hospital because of a stricture of the sigmoid colon.
Five years earlier, a rectal mass had been found on a routine sigmoidoscopic examination. An examination with a flexible sigmoidoscope showed a sessile, slightly lobulated, polypoid mass, 3 cm in diameter, just within the anal sphincter. Microscopical examination of biopsy specimens suggested a solitary rectal ulcer. The carcinoembryonic antigen level was 1.2 µg per liter. A transanal excision of the mass was performed, and microscopical examination of the specimen confirmed the diagnosis of a rectal ulcer. Follow-up examinations with a flexible sigmoidoscope during the
Differential Diagnosis
Clinical Diagnoses
Dr. Michael V. Seiden's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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