An air contrast barium enema study reveals a 2.5 cm polyp at the splenic flexure. Discuss appropriate management. Discuss the association between polyp size and risk of carcinoma. Physical exam reveals a large cauliflower lesion 4 cm above the anal verge. Laboratory studies reveal a potassium of 2.8.
Colonoscopy reveals a large adenocarcinoma in the distal left colon.
The patient is febrile and examination reveals a remarkably distended abdomen with peritoneal signs. Biopsy reveals squamous cell carcinoma. Describe the treatment options.