Abstract
A 63-year-old man with a history of three synchronous primary cancers (colon, lung, and thyroid) underwent surveillance colonoscopy after his curative left hemicolectomy. A new 8 mm rectal lesion was identified and removed with hot snare polypectomy. Histology showed a grade 1 rectal neuroendocrine tumor (NET). Repeat colonoscopy 6 months later showed five new sub-centimeter rectal NETs, which were removed with cap-assisted endoscopic mucosal resection (EMR).
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