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    of 1

    PENTAX SPOTLIGHT GRAPHIC B

    Pentax Medical Red C 0 M 100 Y 100 K 0


    100%

    PENTAX i-SCAN™ with Anal Cancer


    Case Study
    For Medical Professionals

    Patient History Patient Follow-up and


    A 69-year-old male was referred for Outcome:
    routine surveillance colonoscopy. He The patient subsequently underwent
    denied any symptoms of bright red R-US (Rectal Endoscopic Ultrasound)
    blood per rectum or any rectal pain which revealed a 1.4 cm x 2.1cm
    or discharge. His family history was lesion in the distal anorectum c/w
    positive with his father having being Figure 1
    anal cancer stage: T2N0. He was then
    diagnosed with colorectal cancer at referred to combined multi-disciplinary
    age 78 years. The patient had one colo-rectal surgery and oncology clinic
    prior colonoscopy 5 years earlier that and under went therapy with chemo/
    demonstrated a small tubular adenoma. radiation with successful response.

    Colonoscopy Findings:
    A small sessile polyp was found in
    Figure 2.1
    the sigmoid colon and was removed
    with “Cold” snare polypectomy. The
    pathology was consistent with a
    tubular adenoma.

    Retroflexion exam in the rectum


    Deepak V. Gopal,
    appeared normal. However, in the MD, FRCP(C), AGAF, FACG, FASGE
    forward view as the colonoscope Professor of Medicine
    Figure 2.2
    was withdrawn, in the anorectum, Director of Endoscopy,
    Division of Gastroenterology
    just at the dentate line, colonoscopy Univeristy of Wisconsin -
    with white light endoscopy (WLE) School of Medicine & Public Health
    suggested mucosal irregularity Madison, WI United States
    (Figure 1). The i-SCAN 1 mode was
    switched on and revealed a small
    erythematous, friable, ulcerated
    Pathology contribution:
    nodular lesion in the distal ano-rectum Figure 2.3
    Rashmi Agni, MD
    in the posterior wall (Figure 2.1, 2.2, Associate Professor of Medicine
    2.3). This area was targeted for biopsy Department of Pathology &
    and the histopathology revealed Laboratory Medicine
    Univeristy of Wisconsin -
    squamous cell cancer of the anal canal School of Medicine & Public Health
    (Figure 3 pathology). Madison, WI United States

    Figure 3

    PENTAX Medical
    3 Paragon Drive
    Montvale, NJ 07645
    Phone + 1 800 431 5880 Copyright 2013. All Rights Reserved. All company and product names and marks contained within are federally
    Fax + 1 201 391 4189 registered trademarks, trademarks or service marks of PENTAX of America, Inc. Product specifications are
    www.pentaxmedical.com subject to change without notice, and without any obligation on the part of the manufacturer. MK-415 Rev: A

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