Report from Victoria Hospital
Prince Albert, Saskatchewan, Canada
Attending Physician: Randy Friesen
Admission Date: 2001 March 19

PROCEDURE
Colonoscopy and polypectomy times two

PRE-OP DIAGNOSIS
History of Colon Cancer, for coloscopy

FINAL DIAGNOSIS
Adenomatous polyps times two

PROCEDURE
Colonoscopy and polypectomy times two. This 42 year old entrepreneur/endurance athlete from Prince Albert presented to me several months ago with an obstructing carcinoma of the splenic flexure. He underwent a primary bowel resection and re-anastomosis and did well postoperatively. He is now getting back in shape again and continuing his very energetic ways.

ON EXAMINATION
The abdomen was unremarkable. Digital rectal examination was also unremarkable.

COLONOSCOPY FINDINGS
At the rectosigmoid junction, at about 16 cm. was a 4 mm. sessile lesion. The only other abnormality was a 1 cm. very soft slightly pedunculated adenoma just opposite the ileocecal valve in the cecum. Both these lesions appeared very benign. The colonic anastomosis appeared quite unremarkable and was very well healed.

PROCEDURE
Patient was interviewed and examined and underwent routine diagnostic video coloscopy. As the scope was withdrawn, the lesion in the cecum was identified. It was biopsied and the base was snared., cauterized and transected with the wire snare. There was no bleeding. The lesion lower down was removed with a couple of bites from the jumbo biopsy forcep. There was minimal bleeding. The patient tolerated the procedure well.

OPINION
I am recommending that this gentleman have colonoscopy again in one year. He is due for routine cancer check-up in several months.

Dr. Randy Friesen

cc: Dr. L. Lanoie
cc: Saskatoon Cancer Center