Video Endoscopic Sequence 1 of 26.

Synchronous Cancers, Familial Adenomatous Polyposis

 Prolapsed Adenocarcinoma of the rectum and
 adenocarcinoma of the transverse colon.

 This is the case of a 48, year-old female, referred to us to
 evaluate a rectal prolapsed mass, one brother died due to a
 colon cancer and two brothers died due to rectal
 hemorrhage at 11 ands 12 years.

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 All endoscopic images shown in this Atlas contain
 video clips. We recommend seeing the video clips in full
 screen mode

Video Endoscopic Sequence 2 of 26.

 The image as well as display a large and irregular mass
 that was proven by histopathology to be an
 adenocarcinoma.

 Synchronous carcinomas of the colon and rectum are of
 considerable clinical significance because of their
 frequency, the number of extra tumours missed and the
 difficulty of preoperative diagnosis.

Video Endoscopic Sequence 3 of 26.

The patient has several flat adenomas in the rectum.

Video Endoscopic Sequence 4 of 26.

Multiple Adenomas in the Sigmoid are displayed.

Video Endoscopic Sequence 5 of 26.

More Adenomas are in the Descending Colon

Video Endoscopic Sequence 6 of 26.

Video Endoscopic Sequence 7 of 26.

A large Ulcerated Adenoma is seen at the Splenic Flexure
The ulcer displayed it may be due to the biopsies taken 19 days in a previous colonoscopy.

Video Endoscopic Sequence 8 of 26.

This unusual finding is an artery that feed two polyps.

Video Endoscopic Sequence 9 of 26.

Again more images and video clips of the Adenocarcinoma of the transverse colon.

Video Endoscopic Sequence 10 of 26.

The hole of the apendix is surrounded by adenomatous tissue.

Video Endoscopic Sequence 11 of 26.

Cecum, the terminal Ileum was unremarkable.

Video Endoscopic Sequence 12 of 26.

A large pediculated mass is displayed at ascending colon.

Video Endoscopic Sequence 13 of 26.

This image and the video clip shown multiple polyps and the adenocarcinoma of the transverse colon.

Video Endoscopic Sequence 14 of 26.

 The video clip displays the biopsies of the transverse cancer.

Video Endoscopic Sequence 15 of 26.

Splenic Flexure.

Video Endoscopic Sequence 16 of 26.

Video Endoscopic Sequence 17 of 26.

Video Endoscopic Sequence 18 of 26.

The adenocarcinoma of the rectum.

Video Endoscopic Sequence 19 of 26.

The image and the video clip display, some bipsies are taken of an irregular flat adenoma of the rectum.

Video Endoscopic Sequence 20 of 26.

Video Endoscopic Sequence 21 of 26.

The rectum has several flat polyps.

Video Endoscopic Sequence 22 of 26.

Again a flat polyp of the rectum.

Video Endoscopic Sequence 23 of 26.

Retroflexed image of the rectal adenocarcinoma.

Video Endoscopic Sequence 24 of 26.

Again, retroflexed image.

Video Endoscopic Sequence 25 of 26.

Prolapsed adenocarcinoma.

Video Endoscopic Sequence 26 of 26.

More images and video clip.