Question 1

i got a colonoscopy done and the report says "adenomatous polyp, polyp removed, with high grade dysplasia". polyp was 26mm. no history of colon cancer. what does this mean? what kind of questions/tests should i ask when i meet my gastroenterologist?

Accepted Answer

Polyp: Most importantly ask when the next screening colonoscopy should be done as your colon polyp, size and microscopically,  indicates that this was a great pickup. Also there is risk for more polyp formation in the future. Ask your gastroenterologist if there's any dietary advice or advisability of taking low dose aspirin as preventative measures for polyp formation or development of colon cancer

Question 2

39y/o, had 2 polpys removed (sigmond & descending, villous adenoma w/high grade dysplasia). will i get colon cancer even though 2 polyps were removed?

Accepted Answer

Not sure if: Family history or leeding led to your colonoscopy, but it showed its value.  You are not predestined to get invasive cancer, but the findings warrant follow up to snip dangerous polyps before they invade, and gain access to nodes and blood steam. Your colonoscopist can tell you schedule for surveillance.

Question 3

can a person develope obstructive colon cancer two years after scope that showed 1 hyper and 1 adenoma polyp and diverticulosis?

Accepted Answer

Yes: It is possible, although rare.
The most common explanation would have been a missed colon polyp during the past procedure, due to either poor colon prep (stool in colon) or incomplete procedure due to technical reasons. 
Aggressive cancers (with genetic mutations - usually hereditary) can lead to obstructive cancer in a year.

Question 4

had colonoscopy found one polyp removed and biopsied was a tubular adenoma. said next coloscpy in 5 yrs. no fam history colon cancer. too long?

Accepted Answer

Reccomended time: I know it feels uncomfortable to wait so long, but these time frames are based on multiple large studies with risk and time calculated closely to see when the safe time frame to go without a colonoscopy is. This falls in that time frame, especially with no fam history. Any symptoms though, contact the GI doc as soon as you see any. Hope that helps!

Question 5

65 female stage2b colon cancer dx 2017underwent hemicolectomy and adjvunt chemo 12sessions.have been on surveillance.last year colonoscopy revealed adenomatous polyp low grade dysplasia doc said f/u should be 2y later.time frame ok or annually?

Accepted Answer

: You need to separate the follow up for Colon Cancer(for this you need to see your doctor every 6 months to 12 month intervals) and for the colon Polyps. The advice for 2 yearly rechecks is strictly for the Colon polyps  which can reappear and require recheck at 2-3 year intervals. Good luck.

Question 6

can a large polyp in your colon mean colon cancer?

Accepted Answer

Maybe: Larger growths can contain cancer, but other polyps can be large and still be fully benign. Pathology would review the polyp after it is removed.

Question 7

does having a number of benign polyps in the colon mean a larger chance of colon cancer?

Accepted Answer

Yes: Virtually all colon cancers arise from polyps and having polyps increases the risk of developing colon cancer.

Question 8

docs, could a large colon polyp mean colon cancer?

Accepted Answer

Not really: Not really the size of the polyp does not determined if it is cancer or not of course large polyp can do more damage and depend on location can cause obstruction
and bleeding the histology of the polyp determined if it is malignant or pre malignant.

Question 9

what does it mean to have a large friable polyp?  i have a family history of colon cancer and have to wait 2 weeks for the results.

Accepted Answer

A description: It is just a description by the gastroenterologoist (endoscopist) of how it looked to him/her.   It does not mean it is cancer.  You will to wait for the pathology report for a final diangosis as to what it exactly is.

Question 10

what stage of colon cancer is polyp?

Accepted Answer

No stage.: Polyps are not cancer yet.  There are many forms of polyps.  Some, like tubular adenoma and villous adenoma, need a full colonoscopy, and surgery if the polyp is too large.  Hyperplastic polyps need no treatment.  Colon cancers can arise from adenomatous polyps.

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Doctor answers about:

Does villous adenomatous polyps mean stage 0 colon cancer

A member asked:

I got a colonoscopy done and the report says "adenomatous polyp, polyp removed, with high grade dysplasia". polyp was 26mm. no history of colon cancer. what does this mean? what kind of questions/tests should i ask when i meet my gastroenterologist?

A member asked:

39y/o, had 2 polpys removed (sigmond & descending, villous adenoma w/high grade dysplasia). will i get colon cancer even though 2 polyps were removed?

A member asked:

Can a person develope obstructive colon cancer two years after scope that showed 1 hyper and 1 adenoma polyp and diverticulosis?

A member asked:

Had colonoscopy found one polyp removed and biopsied was a tubular adenoma. said next coloscpy in 5 yrs. no fam history colon cancer. too long?

A member asked:

65 female stage2b colon cancer dx 2017underwent hemicolectomy and adjvunt chemo 12sessions.have been on surveillance.last year colonoscopy revealed adenomatous polyp low grade dysplasia doc said f/u should be 2y later.time frame ok or annually?

A member asked:

Can a large polyp in your colon mean colon cancer?

A member asked:

Does having a number of benign polyps in the colon mean a larger chance of colon cancer?

A member asked:

Docs, could a large colon polyp mean colon cancer?

A member asked:

What does it mean to have a large friable polyp? i have a family history of colon cancer and have to wait 2 weeks for the results.

A member asked:

What stage of colon cancer is polyp?

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