The nodule shown in the photograph was found in the rectum of an elderly, asymptomatic patient undergoing a gastroscopy and colonoscopy because of mild iron-deficiency anaemia (figure 1). Biopsy samples were taken from the nodule and the H&E stain is shown (figure 2).
HOW WOULD YOU MANAGE THIS NODULE?
a) Ignore the polyp
b) Sample it again
c) Remove it by endoscopic mucosal resection
d) Remove it by endoscopic submucosal dissection
e) Remove it surgically