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Aug 1, 2016 · Need help understanding my Colonoscopy Report in Colorectal Cancer

Hi,
Could anyone help explain the colonoscopy report findings?
In the rectum there was a 2.5cm submucosal mass starting at about 10cm from the anal margin. It does not look like a primary rectal adenocarcinoma.
The distal terminal ileum is compressed and there is an impression of a mass in the area. I intubated the TI nut it would not distend at all despite air insufflation suggestive of extrinsic compression more than a primary terminal ileal neoplasm. In view of the position a neuroendocrine tumour should be on the differential diagnosis list.
The original endoscopy I was told was clear so I’m a bit confused. The only symptoms are high blood pressure and abdominal pain along with a lump in the groin which they took a biopsy from. The results of this were showed signet cells and the diagnosis is signet cell cancer of unknown primary. If anyone could shed any light of what this latest colonoscopy indicates I would be grateful.