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Colonoscopy: Small fungating tumor at 83 cm.
Resection: Annular carcinoma in the splenic flexure, penetrates bowel wall.
Colonoscopic biopsy: Adenoca.
Gross: Transverse and left colon.
Micro: Mod diff colonic adenoca (2 cm) extending through muscularis propria, into overlying serosal surface of the bowel. 0/12 LNs involved.
Surgery: Left colon resection.