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Polypoid lesions from the oesophagus to colon
  1. Po-Jui Huang1,
  2. Chia-Lun Chang2,
  3. Fat-Moon Suk1,3
  1. 1Division of Gastroenterology, Department of Internal Medicine, Taipei Municipal Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
  2. 2Divison of Hematology and Oncology, Department of Internal Medicine, Taipei Municipal Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
  3. 3Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
  1. Correspondence to Dr Fat-Moon Suk, Division of Gastroenterology, Department of Internal Medicine, Taipei Municipal Wan Fang Hospital, No. 111, Section 3, Hsing-Long Road, Taipei 116, Taiwan; fmsuk{at}tmu.edu.tw

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Clinical presentation

A 73-year-old man presented with abdominal fullness for 2 months. He had lost 5 kg in the previous 2 months. He did not have fever or abdominal pain. He had a history of chronic hepatitis B. Physical examination showed enlarged lymph nodes over bilateral neck, axillary and inguinal areas. Laboratory study revealed leucocytosis with white cell counts 14.1×109/L; haemoglobin level 12.8 g/dL; platelet count 227×109/L; hypoalbuminaemia with albumin level 2.8 g/dL, as well as normal blood sugar, aminotransferase, urea, creatine, serum uric acid and lactic acid dehydrogenase levels. Tumour markers carcinoembryonic antigen, carbohydrate antigen 19–9 and alpha-fetoprotein were all within normal limits. The upper GI panendoscopy showed …

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