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ASCRS Textbook of Colon and Rectal SurgeryASCRS Textbook of Colon and Rectal Surgery
Fundamentals of Rectal Cancer SurgeryFundamentals of Rectal Cancer Surgery
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Anal Intraepithelial Neoplasia
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  • CARSEP XIIAnorectal Disease
    • A 45-year-old man, who reports sex only with men (MSM), has been referred to you for evaluation of a whitish anorectal lesion identified on initial screening colonoscopy. Biopsies confirmed high-grade squamous intraepithelial lesion (HSIL), for which he ultimately underwent excision and fulguration. What is the recommended surveillance?
    • A 64-year-old woman with history of cervical cancer treated with radical hysterectomy presents with anal itching and burning. Examination demonstrates a well-circumscribed hyperkeratosis/lichenification rash. Which of the following is the best next step in her management?
    • A 30-year-old patient presents within 48 hours of anoreceptive intercourse, reporting pain, burning, and red macules and vesicles in the anus. What is the best next step for treatment of this patient?
  • CARSEP XIIMalignancy
    • A 62-year-old woman presents to the office with a 1-month history of rectal pain, bleeding, and perianal mass. On digital rectal examination and anoscopy, a 3-cm firm mass is noted at the left lateral anal canal. Inguinal examination is unremarkable. Biopsy of the mass shows moderately differentiated squamous cell carcinoma. Staging computed tomography (CT) of the chest and abdomen and magnetic resonance imaging (MRI) of the pelvis demonstrate a T2N1M0 tumor. What is the best next step in her management?
  • 1 - 4 of 4 records
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