Doctor insights on:
Colonic Villous Adenoma
Premalignant tumor: Neoplasms of the small bowel are unusual comprising less than 2% of all malignant neoplasms of bowel . They manifest with non-specific symptoms and frequently can be missed in the usual screening tests because they are flat and carpet like in appearance. Villous adenomas are often associated with larger adenomas and more severe degrees of dysplasia and are of concern primarily because of the risk of malignant transformation (approximately 15-25% overall) ...Read more
What do you suggest if my husband has a villous adenoma the size of a strawberry. how worried should I be?
Usually convert: When a villous adenoma is detected in a male who is probably over 50 yrs. of age you are dealing with a notorious premalignant cancer of bowel which is where I assume the lesion is present. Virtually every one is resected to prevent the development of colon Ca. Wide resection I assume would be attempted by scope if possible, would be curiative. ...Read more
I had a 3mm colon adenoma found at age 22, follow up exams at 23 and 27 both clear. How often should I be screened going forward?
It depends.: There are multiple factors which go into this decision. Do you have any family history of colon cancer or aggressive polyps? Why did they do a colonoscopy on you in the first place at age 22? You should consult with the gastroenterologist who did your previous procedures to evaluate the best timing. Good luck. ...Read moreSee 1 more doctor answer
I am highly susceptible to colon polyps & at 30 had a hgd adenoma removed, is a high or low fibre diet best for me to reduce frequency of the polyps?
More complex...: Than that. In general, high fiber diet (not simply bran or fiber supplements) may be helpful ( conflicting data). Adequate calcium, especially from dairy (low fat/no fat) may be helpful. Low sat fat (low meat, especially processed/sausage type) may be helpful. Aspirin or nsaids may be helpful. Need to discuss your particulars, including fam hx, polyp hx, w/ md. Follow surveillance scopes. ...Read more
Not really: lynch syndrome is an inherited disease that will cause polyps that will led to camper Tubular adenoidal is a condition cam happen with or without lynch syndrome ...Read more
I had a 3mm colon adenoma found at age 22, follow up exams at 23 and 27 both clear. No family history, how often should I be screened going forward?
Is 2 yr f/u after 1.5cm peicemeal removal of SA in ascending colon on target? &2 tubular adenomas from sigmoid removed,all 3 LGD. Precancer or benign?
Sounds right.: Tubular adenomas do occasionally progress to become cancers. Depends upon size and appearance under the microscope. If there is low grade dysplasia then there is no rush to re-scope. However they do need to be watched ( just like you would watch a funny mole on your skin.) Listen to your doc about the appropriate interval for repeating the colonoscope. ...Read more