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DRE:

Lesion starting from the

anal canal

, located to the

Initial work-up

anterior left lateral and posterior wall of the rectum,

extending cranially for 5 cm, fix. Blood on the finger

Pt’s Colonoscopy:

Lesion starting from the

anal canal

extending on the left lateral wall of the pelvis, extending for

6 cm

,

ulcerated

and

bleeding

. Biopsies.

Biopsy:

Poor differentiated adenocarcinoma