10 / 1068
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DRE:
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At 5 cm from the internal anal sphincter:
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Circumferential tumor
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Fixed
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Blood on the exploring finger
Diagnosis
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Colonoscopy:
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Bleeding tumor at 7 cm from the anal verge, extending for 5 cm.
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Biopsy:
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Moderately differentiated adenocarcinoma
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Blood Tests:
Elevated CEA (>30 ng/ml), other blood tests normal