USMLE Forum Archives - USMLE Step 3 - Pedunculated colon polyp
Pedunculated colon polyp
harry206 - 05-08-09 02:15
A 69-year-old African-American man comes to see you in the office. He recently had a screening colonoscopy, and was found to have a 1.8 cm pedunculated colon polyp on the right side, which was completely excised. The biopsy showed a high-grade dysplastic villous adenoma without any involvement of the stalk and its margins. There was no vascular or lymphatic involvement, either. There is no family history of colon polyps or colorectal cancer. He is otherwise in good health, and has no other medical problems.
Which of the following is the most appropriate next step in the management of this patient?
harry206 - 05-08-09 02:15
A 69-year-old African-American man comes to see you in the office. He recently had a screening colonoscopy, and was found to have a 1.8 cm pedunculated colon polyp on the right side, which was completely excised. The biopsy showed a high-grade dysplastic villous adenoma without any involvement of the stalk and its margins. There was no vascular or lymphatic involvement, either. There is no family history of colon polyps or colorectal cancer. He is otherwise in good health, and has no other medical problems.
Which of the following is the most appropriate next step in the management of this patient?
The correct answer and explanation will be available after you answer.
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Re: Pedunculated colon polyp
harry206 - 05-08-09 02:31 Hi zkadhem, u r also here. nice
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#18
Re: Pedunculated colon polyp babbu5508 - 06-22-10 12:47 My answer is: d.
as the high-grade dysplastic villous adenoma did not involve the stalk or its margins, no vascular or lymphatic involvement, at this point do nothing except follow up after 1 year
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