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Doctor insights on: Diminutive Sessile Polyp Colon

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Dr. Bernard Seif
13 Doctors shared insights

Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more


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What are sessile polyps found in colon sent to pathology?

What are sessile polyps found in colon sent to pathology?

Flat polyps: Sessile refers to the morphology of the polyp rather than the polyp type. Sessile polyps are more flat than peduculated polyps, which grow from a stalk. Once removed, the polyp is sent to pathology to determine the polyp type (hyperplastic, adenoma, cancer, etc). ...Read more

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Are small sessile colon polyps usually cancerous?

Are small sessile colon polyps usually cancerous?

No. ..: ... On the contrary. The smaller the polyp, the less likely it is to be "cancerous". Sessile just means flat (harder to find) versus pedunculated (mushroom-shaped). The precancerous type of polyps are adenomatous and serrated polyps (documented on pathology). Hyperplastic polyps in general are almost always benign and never turn into cancer. ...Read more

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3-5mm Sessile polyp removed from descending colon during colonoscopy. What are the odds it's a hyperplastic polyp? Should I be concerned?

3-5mm Sessile polyp removed from descending colon during colonoscopy. What are the odds it's a hyperplastic polyp? Should I be concerned?

Wait for pathology: Your Gastroenterologist will have sent the polyp to a pathologist for study. I'm sure his office will call you to let you know the results. (S)he will advise you what to do next. ...Read more

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Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon? What type of doc can do it?

Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon? What type of doc can do it?

Sessile = flat: Sessile polyps are flat, which makes it very difficult (but not impossible) to remove. However, they can usually be biopsied to determine if (pre)cancerous or not. This is where the gastroenterologist comes in handy. Realistically, it comes down to experience as newly minted docs may not have skills of seasoned ones. But in general, gastroenterologist is specialist to go to for colonoscopy. ...Read more

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Doc found one sessile polyp (half inch) on my sigmoid colon that he couldn't remove. Is the polyp precancerous or more dangerous than others?

Doc found one sessile polyp (half inch) on my sigmoid colon that he couldn't remove. Is the polyp precancerous or more dangerous than others?

May need surgery: Polyps can be pedunculated or sessile. The flat ones (sessile) are much more difficult to remove intact via colonoscopy. Depending on the biospy results, the lesion may have to be removed surgically. ...Read more

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Had a sessile serrated polyp in acending colon 2 years ago removed at 27 years old, if I fixed my chronic constipation could I decrease CA chance?

Had a sessile serrated polyp in acending colon 2 years ago removed at 27 years old, if I fixed my chronic constipation could I decrease CA chance?

Potentially: High fiber diet has been linked to lower rates of colon cancers based on epidemiologic studies. Even if it doesn't decrease your cancer risk, having soft bowel movements also reduces your risk for developing hemorrhoids. ...Read more

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My wife had a colonoscopy and they found a 3cm sessile polyp in the transverse colon @ 60 cm. The polyp was removed in a piece meal fashion. What does that mean?

My wife had a colonoscopy and they found a 3cm sessile polyp in the transverse colon @ 60 cm. The polyp was removed in a piece meal fashion. What does that mean?

Polypectomy: The gastoenterologist typically uses a hooped metal device to remove the polyp. Sometimes the poly is big enough that they need to cut it in half to get to the base. ...Read more

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I recently had a colonoscopy, and the doctor completely removed a sessile polyp from my descending colon using cold forceps (size of polyp unknown). I?

I recently had a colonoscopy, and the doctor completely removed a sessile polyp from my descending colon using cold forceps (size of polyp unknown). I?

Ok Then: What is the biopsy (pathology) repot which is important for immediate care. You have to find it from your doctor and also will advise you about what type of follow up care you need. . ...Read more

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My doc said he couldn't remove a 1/2 inch sessile polyp on my sigmoid colon but said he'll try again at a hospital. Would I repeat the colon cleanse?

Yes: If he is going to repeat a colonoscopy to remove the polyp, you will need to repeat the cleanse. Freeing the colon of debris will help the physician be able to identify the polyp, and issues during removal, and will make for a safer procedure. Cleanse should be repeated and make sure to ask your physician for any necessary scripts related to the cleanse. Hope that helps! ...Read more

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So my colon. Showed redundant colon and I had what they told me was a "moderate cancer risk sessile polyp" I eat healthy no ca in family im only27, why?

So my colon. Showed redundant colon and I had what they told me was a "moderate cancer risk sessile polyp" I eat healthy no ca in family im only27, why?

Many reasons: I would worry about familial polyposis or lynch syndrome.
You should have a repeat colonoscopy in a year. Someone should evaluate your family history and see if you might be a candidate for genetic testing. ...Read more

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Had stage 1 sessile colon polyp excised. A month later the same area was biopsied, no cancer cells found, no mets in ct, CEA normal. Good idea to wait 6 months to recheck?

Discuss with GI Dr.: It depends on the size and pathology of the sessile polyp.

If this polyp was already a cancer, this may need to addressed based on how much thickness of the bowel wall it invaded.

Your GI surgeon is the best resource for this. Please note this may cause you problems down the line if you ignore his advice. ...Read more

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I have a 4mm sessile colonic polyp. It wasn't removed but the penuculated ones were, they were also colonic ones at 7mm. Why? Is this strange? Thanks.

I have a 4mm sessile colonic polyp. It wasn't removed but the penuculated ones were, they were also colonic ones at 7mm. Why? Is this strange? Thanks.

NMS: This is not my specialty but I would venture to guess that a sessile polyp is more risky to remove and the size is not too alarming. Did your GI ask you to return for a follow-up procedure? I think this is the question you need to ask the doctor about. ...Read more

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When polyps are removed from the colon are they checked immediately?

Not usually: Polyps are usually sent to a pthology lab, where they are processed, fixed in preservative, cut, stained and then 'read' by a pathologist. This takes time, especially if you want them to be accurate in their diagnosis, but depending on the size, location, lab, etc, the results are usually back in 3-7 days. Ask your doc how long his specimens usually take to get an idea as it varies widely. ...Read more

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Why would section of colon need to be removed surgically if polyps are found?

Prevention: Polyps have a propensity to develop into malignancy. If you have a section of bowel that is full of polyps, it is thought that removal of the section may avoid cancer development. ...Read more

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Are colon polyps dangerous?

Eh: Dangerous is a strong term

Certain colon polyps are considered precursors to cancer. That is, if not removed, they have potential to become cancer. ...Read more

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Are there symptoms of colon polyps?

Are there symptoms of colon polyps?

Not typically: On occasion, polyps may infarct, twist on their stalk, bleed, or secrete (villous tumors of the rectum) with resulting "diarrhea." however, most polyps & colon cancers are identified (hopefully) before symptoms develop. Early detection at a smaller polyp size means higher cure rates, lower risk of malignant transformation or invasion, & improved survival before cancer develops. Get a colonoscopy! ...Read more

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What is a adenomatous colon polyp.?

What is a adenomatous colon polyp.?

Pre-cancerous: As opposed to a hyperplastic polyp, an adenomatous polyp is the type of growth in your colon that can become cancerous over time. Variants such as villous or tubulo-villous adenomas may also describe this type of polyp. If you have these removed at colonoscopy, you will require surveillance on a regular basis. ...Read more

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Is it common to have colon polyps in your 20's?

Possibly: We don't really know because most people don't get colonoscopies in their 20's. Most people start at age 50 for colon cancer screening. There are some inherited syndromes like Familial Polyposis that predispose someone to polyps, but they are exceedingly rare. The polyp should be biopsied to figure out what type it is, which will be very informative. ...Read more

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How quickly can a colon polyp grow?

How quickly can a colon polyp grow?

Some grow quickly.: I personally have a family history of colon cancer and had a normal colonoscopy only 2 years before I had a bleeding episode discovered to be from a cancer from a polyp in my cecum. 2 years is a short time to go from no sign of anything to developing a polyp, to having it become a cancer. ...Read more

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What sort of disease is a colon polyp?

What sort of disease is a colon polyp?

Colon Polyp: A polyp in the colon is not a disease. A polyp is a growth on the surface of the lining of the colon. Some can lead to cancer and some are benign. They usually do not cause symptoms unless they get big. They are removed at colonoscopy to make sure they are not pre-cancerous. You are more likely to get them if you eat fatty foods, smoke, drink alcohol, don't exercise, or obese. ...Read more

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Type of colon polyp that is fast growing?

Depends on size and: How fast it is growing. It could be cancer, so it probably should be removed. Consult with your GI specialist. ...Read more

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Nodule & polyp found in colon. Wat are these?

Ask Pathologist: No way to say without pathological analysis of a tissue specimen. How were the findings discovered? If no sample of the lesions were obtained you would require a colonoscopy to get a sample to find out. ...Read more

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Are adenomatous polyps of the colon inherited?

Are adenomatous polyps of the colon inherited?

They can be: Yes, they can be, especially in a genetic syndrome called Familial Adenomatous Polyposis (or FAP). ...Read more

Polyp (Definition)

A polyp may occur anyplace on the body, but is most commonly seen in the colon when a colonscopy exam is done. It is a bump or protrusion from the lining of the GI tract and colon, which can can be benign or turn ...Read more


Dr. Janice Alexander
12 Doctors shared insights

Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more