A LIVING LIBRARY OF COMMON AND RARE ENDOSCOPIC FINDINGS

Cecal Polyp

Location: Cecum

Optical impression: ~2 cm homogeneous laterally spreading granular lesion visualised with NBI. Paris 0-IIa + IIc morphology with a centrally depressed, irregular and avascular area, suggesting malignant transformation with possible deep submucosal invasion (JNET 2B peripherally, JNET 3 centrally).

Plan: Surgical resection, as safe en-bloc R0 endoscopic resection is unlikely and the risk of non-curative endoscopic therapy is high.