MSFinals-6548

A 60-year-old man visits his doctor with worries about blood in his stool. He has been noticing red blood for a few weeks now. Recently, he experienced pain while passing stools and felt a lump around his anus. During the examination, a purple mass is observed in the perianal area. Upon direct rectal examination, a tender lump is confirmed at the 7 o’clock position. What is the best course of action for managing this presentation?