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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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Rectal Cancer Pathology Assessment
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  • ASCRS Question BankMalignancy
    • A 64-year-old woman with a history of cervical intraepithelial neoplasia presents with a firm 3-cm mass protruding at the anal verge. Anoscopy shows a fixed mass just distal to the dentate line. A biopsy of the lesion is performed, which has the findings shown in the Figure. Colonoscopy findings are unremarkable and computed tomography of the chest, abdomen, and pelvis reveals no evidence of distant disease. Magnetic resonance imaging reveals no locoregional nodal or sphincter involvement. The next best step in management for this patient is:
    • A 64-year-old woman undergoes colonoscopy for a positive fecal immunochemical test result. A mass is found in the midrectum (Figure). Pathology findings show an adenocarcinoma. For local staging of the tumor, what is the most appropriate next study to perform?
  • ASCRS Question BankBenign Disease
    • A 28-year-old man with a history of ulcerative colitis undergoes a total proctocolectomy with stapled ileal pouch–anal anastomosis. Six months after surgery, he presents with urgency, increased stool frequency, and bloody bowel movements. Endoscopic examination findings are shown (Figure A and B). What is the best next step in management?
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