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[Music] okay so now Im gonna do a colon or colon cancer this is a very short segment of sigmoid with a colon cancer in it so I thought this would be a good example of a pretty standard cold so what we have is the colon the serosa is the parrot utilized surface lining the colon and then the mesenteric fat attached to the segment of colon okay and then what the surgeon has done is theyve placed a stitch on one end to designate the proximal end okay as you can see I have the colon already opened and there is a nice mass there in the colon good descriptive term for that is its a centrally ulcerated mast with the raised border thats usually a fairly good description of a colon tumor and you can see here there is a little bit of a defect a little bit of scabrous material on the serosal side underlying what we now know is the tumor so Im gonna ink that before I really get started here serosal involvement of the tumor is is a staging question so we need to document is if its at the sero