Right sided anal gland adenocarcinoma. Investigating for enlarged sublumbar Lymph node for metastasis. History of right anal gland mass growth within the last 2 weeks. Physical Exam: Right anal gland has multilobulated mass, about 7cm diameter CBC: All WNL Chemistry: Mildly elevated ALP, rest WNL. Normal Ca and Ionized Ca.
Right sided anal gland adenocarcinoma. Investigating for enlarged sublumbar Lymph node for metastasis. History of right anal gland mass growth within the last 2 weeks. Physical Exam: Right anal gland has multilobulated mass, about 7cm diameter CBC: All WNL Chemistry: Mildly elevated ALP, rest WNL. Normal Ca and Ionized Ca.