Two lesions in elderly lady one proved adenocarcinoma sigmoid colon other polypoid lesion at nal verge having c

75 years lady having lesion at rectosigmoid proved to be adeno carcinoma ;previous treated of villous adenoma at anal region which has recurred ,preesent biopsy says ;dysplasis- should we take this polypoid growth and sent to histopathology ad as per istopath then either prceed for Apr or limited resection colon with shaving of poypoid lesion at anal region;;or do first polypod lesion submucosal resection wait for biopsy then go for one stage operation -dr fiaz fazili surgeon in general