A male with Chronic Pain Abdomen

A male aged 38 years Chief Complaints Pain RIF Malaena on/off Loss of weight (x 1 month) Physical Examination Rt supraclavicular LNP Investigations Colonoscopy showed following images

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Pt is pale and anaemic as pictures suggest Multiple hemorrhagic spots are seen Normal morphology of colon is lost D/d 1 compermised Hiv pt with LNP in supraclavicular region 2 koch's abdomen?

Get the hpe report of the colonoscopy biopsy specimens. If malignant then whole body PET CT scan. Can do the Fnac or supraclavicular lymph node biopsy. Serum CEA Then decide about management