In many cases where the neoplasm is situated within 7–8 cm of the anal verge it can be felt on digital rectal examination as an elevated, irregular and hard endoluminal mass. When the centre ulcerates, a shallow depression will be felt with raised and everted edges
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- (no access) - McCaskie, A. W._ O'Connell, P. Ronan_ Williams, Norman S - Bailey & Love's Short practice of surgery (2018, CRC Press) - libgen.li.pdf, p1350
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