Residency Program - Case of the Month
May 2018 - Presented by Dongguang Wei (Mentored by: Kristin Olson)
Clinical History
A 69-year-old female with a history of cecal tubular adenoma and tubulovillous adenomas and a family history of colon cancer presented for a repeat colonoscopy. A 2 cm sessile polyp at the base of the cecum was removed by hot snare and cold forceps.
Immunohistochemical Staining
| Synaptophysin | Positive | |
| Ki67 | <2% |
Click on image to enlarge.
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Figure 1 |
Figure 2 |
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| Figure 3 Synaptophysin1 |
Figure 4 Synaptophysin2 |
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| Figure 5 ki-67a |
Figure 6 ki-67b |
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Which of the following is most likely the diagnosis?
Choose one answer and submit.
The correct answer is
E.) Composite intestinal adenoma-microcarcinoid (CIAM)
> Learn more about this diagnosis.
E.) Composite intestinal adenoma-microcarcinoid (CIAM)
> Learn more about this diagnosis.
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