{"ops":[{"insert":"A 17 year old girl presents with a rapidly enlarging, painless lump in the right loin for two weeks.\n\nShe also gives a history of intermittent passage of fresh blood per rectum for a few months. This was attributed to hemorrhoids and was not investigated further.\n\nHer medical and family histories are unremarkable. A full blood count, urea and electrolytes and liver profile are found to be normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-012_en.png"}},{"insert":"\n"}]}
2
Investigate
CT Abdomen & Pelvis
{"ops":[{"insert":"A large, well demarcated soft tissue mass arising from the right latissimus dorsi muscle is noted. No other abnormalities are seen.\n"}]}
Colonoscopy & biopsy
{"ops":[{"insert":"Colonoscopy reveals numerous polyps \u003C 5 mm in size carpeting the entire colon and rectum.\nMultiple polyps are biopsied. Histology shows them to be tubular adenomas with varying degrees of dysplastic transformation.\n"}]}
