A 75 year old male with a prior right colectomy for colon cancer. History of fragmented (piecemeal) endoscopic mucosal resection of a flat polyp in the descending colon one year ago.
During the follow-up endoscopy, a recurrence of the lesion with a depressed centre due to scarring and with a tattoo extending to the distal part of the lesion was observed. Endoscopic evaluation showed a JNET IIb pattern, and the lesion size was approximately 25mm.
Dr Eduardo Albéniz Arbizu,
Therapeutic Endoscopist
Endoscopy Unit Consultant at Hospital Universitario de Navarra, Spain
Figure 1: Mucosa
Figure 2: Submucosa
Figure 3: Fibrotic tissue