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The Old Endoscopy Quiz (and Answer) of the Month
September 2006

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the Quiz Page

Question:


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This quite old man had suffered from lower abdominal and anorectal pain for about two years. He was found to have a prostate cancer, a disease which is getting more and more common also in our country. The prostate-specific antigen was highly elevated and went down to normal after orchiectomy. The pain did not however go away, and he also had a slight diarrhea - however he had never seen any blood in his stools. This is the sigmoideoscopic finding in the distal rectum. What is this finding?

Answer:

    A Rectal Cancer (Adenocarcinoma).

    It could have been the prostate cancer infliltrating the rectum, but that would supposedly be a very rare event, and the prostate cancer was well treated and under control.

Correct answers and comments were emailed by

    Salvatore Della Ducata, Gallipoli, Italy
    Zahreddine Radwan, Beirut, Lebanon
    Lavrentios Papalavrentios, Thessaloniki, Greece
    Brada Viliam,M.D., Bøeclav, Czech Republic
    Kyi Sein, Sydney, Australia
    DR.S.CHITRA, CHENNAI, INDIA/TAMILNADU
    Arber Veliu, Prishtina, Kosovo


    The gateway of antique city Hieropolis, Turkey ©

    ergün yıldız, Sakarya, Turkey
    Albert J. Chang, Los Angeles, CA, USA
    Grzegorz Naprawa, Szczecin, Poland
    Marion Townend, Moosic, Lackawanna PA
    Lu Jingjing, Beijing, China
    Lavrentios Papalavrentios, Thessaloniki, Greece
    robin, Winter springs, Fl, USA

Comments:

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