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Surgery Rectum 3aed7229

Local excision in CA rectum is done in all, except:

A
Within 6 cm of anal verge
B
Lesion <4 cm
C
Involvement of <40% circumference
D
T1 and T2 cancer with or without lymph node involvement
High-Yield Explanation
Ans. (d) T1 and T2 cancer with or without lymph node involvementRef: Sabiston 19th Edition, Pages 1356-1360Transanal excision of cancer rectum* T1N0 or T2N0 lesion <4cm in diameter* <40% circumference of the lumen* <10cm from dentate line* Well to moderately differentiated histology* No evidence of lymphatic or vascular invasion on biopsyOn Endo USG:* T1 and T2 lesions without nodes will be opted for Transanal excision

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