Abstract
Rectal adenomas with a high risk of cancer frequently occur in anal bleeding and mucus discharge. The risk of malignancy is greater than 50% in polyps larger than 2 cm and includes areas of dysplasia, and the likelihood of dysplasia is correlated with the excess of the villous component ratio, the proximity of the polyp to the anal region, and the increase in size. Large, lumen-encircling polyps are difficult to treat with endoscopic or transanal intervention and necessitate surgical intervention. In this article, we present a female patient who had rectal mucus discharge and had a lower anterior resection and coloanal anastomosis after developing a tubular adenoma with high-grade dysplasia and no villous component.
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