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Comments

Joy Mammen

Two comments:
1. If diagnosed during the colonocsopy and the polypectomy was done on the grounds of malignancy, or suspicion thereof, would it preclude the "final diagnosis" procedure ie stained tissue sections from paraffinized blocks. Our current concepts of pathological diagnosis rests of visualization of the pathological entity on identified tissue sections, which could potentially be available for second review or further testing. Whereas with endomicroscopy, there would only be images. Needs a paradigm shift.
2. Imagine a scenario where the pathologist is also informed of the colonocsopy procedure (like a frozen section) and dials in /logs into the procedure through the internet and sees the real time images to help the gastro-eneterologist.

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