Gastroenterology Education and CPD for trainees and specialists

MCQ On Polyp cancer

1. A 69 year old man underwent a screening colonoscopy under National bowel cancer screening programme. A 1.5 pedunculated polyp in the sigmoid colon was excised and retrieved. The histology report details the polyp as a well differentiated adenocarcinoma with clear margins and no evidence of lymphovascular invasion and Haggitt level 2. Choose the most appropriate answer?

1. Cancerous polyps are classified according to Haggitt level
2. Polyps classified as Haggitt level 3 or lower have a less than 1% likelihood of lymph node metastasis
3. Decision to proceed to surgical resection needs to be individualized
4. Haggitt level 4 polyps have a 12-25% risk of lymph node metastasis and should be treated with segmental colectomy
5. All of the above

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MCQ On Polyp cancer

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