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Previous Volume 350:2500-2509 June 10, 2004 Number 24 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 61-year-old man was referred to this hospital for treatment of a low rectal adenocarcinoma. He had been well until five months previously, when he occasionally began to note blood in his stool. A stool guaiac test was positive. Three weeks before the patient's referral, a colonoscopy was performed at another hospital. A sessile polyp, 10 mm in diameter, was removed from the right side of the colon and was determined to be a tubular adenoma; a sessile polyp, 4 mm in diameter, was found 80 cm into the left side of the colon; it was excised and found to . . . [Full Text of this Article]

Discussion of Management

Pathological Discussion

Discussion of Management, Continued

Pathological Diagnosis

Source Information

From the Department of Surgery (P.C.S.), the Hematology–Oncology Unit, Department of Medicine (J.W.C.), the Department of Radiation Oncology (C.G.W.), and the Department of Pathology (A.P.C.), Massachusetts General Hospital; and the Departments of Surgery (P.C.S.), Medicine (J.W.C.), Radiation Oncology (C.G.W.), and Pathology (A.P.C.), Harvard Medical School.

Related Letters:

Case 18-2004: A 61-Year-Old Man with Rectal Bleeding
Mitchell A., Panzini B., Shellito P. C., Caplan A. P.
Extract | Full Text | PDF  
N Engl J Med 2004; 351:1033-1034, Sep 2, 2004. Correspondence

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• Mitchell, A., Panzini, B., Shellito, P. C., Caplan, A. P. (2004). Case 18-2004: A 61-Year-Old Man with Rectal Bleeding. NEJM 351: 1033-1034 [Full Text]