In which of the following condition local excision in rectal carcinoma can not be done?
Suggested criteria for local excision in rectal cancer: Physical examination Imaging Histology Tumor <3 cm Tumor <30% of bowel circumference Tumor within 15 cm of dentate line Tumor freely mobile Tumor limited to submucosa (T1) No lymph node involvement (N0) Well to moderately differentiated Absence of lymphovascular invasion or perineural invasion No mucinous or signet cell component
Within 10 cm of the dentate line
Lesion 2.7 cm
Involvement of <30% bowel circumference
T1 and T2 cancer with lymph node involvement
Rectum and anal canal