Division of Gastrointestinal and Liver Pathology

Case Conference

Case prepared by: Baishali Bhattacharya, MD, MPH GI Pathology Fellow Attending: Belur Bhagavan, M.D.   Case 14

Clinical History:	Biopsy of a 7 mm rectal nodule in a 41-year-old male. This is one of three similar appearing rectal nodules. Patient had similar lesions biopsied from the the rectum in the past. He reports altered bowel habit with constipation and diarrhea. However, there is no blood in stool, melena or abdominal pain.
Images:
Image 1
Image 2
Choose the correct diagnosis:
	a. Hyperplastic Polyp
	b. Solitary rectal ulcer syndrome (SRUS)
	c. Tubular adenoma
	d. Well differentiated adenocarcinoma
	e. Ulcerative proctitis

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