44yrold lady with a sweeling at anal verge for last 10yr .No Bl PR .PR exam NAD .pl opine for Rx& Tt .

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If p/r is normal, no bleeding p/r then go with gyneach related prolapse!?

Polyp and do polymectomy and histopathology.

Polyp, excise it and get histopathology done.

It is prolapsed thrombosed pile.I will prefer excision of pile mass & send it to histopathology for confermation to rule out malignancy.

sentinel pile?

prolapse hemorrhoids

it's prolapse

Dr Giridhar ,I think yr opinion fits .Thanks I Wii inform after excision& h/p report avail able .

Prolapse hemorrhoids

Dr Rahul sir, yes its extinct hemorrhoids

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