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An unusual finding during bowel cancer screening colonoscopy
  1. Thomas Chapman1,
  2. Gabrielle Rees2,
  3. David Gorard1
  1. 1Department of Gastroenterology, Wycombe Hospital, High Wycombe, UK
  2. 2Department of Histopathology, Wycombe Hospital, High Wycombe, UK
  1. Correspondence to Dr David Gorard, Department of Gastroenterology, Wycombe Hospital, Queen Alexandra Road, High Wycombe, Bucks HP11 2TT, UK; david.gorard{at}buckshealthcare.nhs.uk

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Clinical presentation

A 63-year-old woman attended for colonoscopy after producing a positive faecal occult blood sample during the National Health Service Bowel Cancer Screening Programme. She was asymptomatic. At her screening colonoscopy, a smooth polypoid mass was seen at the base of the caecum (figure 1). Biopsies were taken (figures 2 and 3).

Figure 1

Image at colonoscopy.

Figure 2

Biopsy specimen.

Figure 3

Chromogranin A staining …

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