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Gastroenterology


Answer 5
  1. Full-thickness surgical removal of the tumor. The patient has a mass lesion that should be removed entirely. Chemotherapy, radiation therapy, and combination chemoradiation therapy cannot guarantee complete destruction of the mass. Endoscopic ablation of the tumor with APC does not guarantee complete destruction and would not provide evidence of clear tissue margins. Only a full-thickness surgical removal of the tumor is an appropriate alternative to APR in this patient.

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