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Tumour Morphology

Intramural spread is rare

with the exception of

mucinous tumours

If present, important

consideration for superior –

inferior resection margin

Madsen PM et al. Dis Colon Rectum

1986; 29:279-82.

Sidoni A et al. Tumori 1991; 77: 514-17

Have you checked your DisTANCE ?

Systematic Approach