Histopathological assessment confirmed the diagnosis of well differentiated grade one adenocarcinoma with perforated muscularis mucosa only, Dukes stage B2. No evidence of lymph-vascular invasion. And all the examined lymph nodes were free of neoplasm. No complications were encountered post-operatively. The patient was discharged home after five days and seen after two weeks in the clinic in a good condition. No evidence of synchronous colorectal cancer was observed by colonoscopy. Oncological follow up was launched immediately and planned for chemotherapy.