A 70-year-old man with rectal bleeding and positive FIT was referred for colonoscopy, which picked up a 30 mm mid-rectal lateral spreading tumour with focal depression (LST NG-D).
The case was discussed at the local multidisciplinary meeting where it was felt that the lesion may harbour high grade dysplasia and en bloc resection should be attempted. The patient was counselled on risk, benefits and alternatives, and consented to undergoing submucosal dissection of the lesion.
Dr Iosif Beintaris,
Consultant Gastroenterologist
North Tees and Hartlepool NHS Foundation Trust, UK