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Endoscopic submucosal dissection of a schwann cell hamartoma mimicking a lateral spreading tumor of the rectum

Journal Volume 80 - 2017
Issue Fasc.3 - Letters
Author(s) Rui Gaspar, João Santos-Antunes, Margarida Marques, Irene Gullo, Roberto Silva, Joanne Lopes, Guilherme Macedo
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(1) Centro Hospitalar São JoãO. Gastroenterology ; (2) Centro Hospitalar São JoãO. Department of Pathology 3S, Ipatimup.

We report a case of a 42 years old male with no past medical history or current medication was referred to our outpatient clinic due to rectal bleeding. Physical examination was unremarkable and laboratory data was normal. Colonoscopy showed a 30x15mm flat granular lesion in the rectum, which did not present a typical pattern of adenoma on NBI evaluation. Biopsies were inconclusive for dysplasia and an endoscopic submucosal dissection was then performed with successful en bloc resection of the entire lesion (Fig. 1).

© Acta Gastro-Enterologica Belgica.
PMID 29560678