A 55 year-old female, in a routine check-up, this mass was found at descending colon. Adenomatous tumor with a large and wide pedicle at descending was found. On the left lateral decubitus position, the tumor was thought to be sessile. A colonoscopy polypectomy was performed, first injecting the stalk with dilute epinephrine (1:10,000), and ligating devices such as a hemoclips and removed by transection of the stalk with a polypectomy snare.
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