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Doctor insights on: Diminutive Sessile Polyp Colon

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Dr. William Singer
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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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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?

Morselated or: Piecemeal means not intact -- one likes to see margin, whether the polyp has typical or frank cancer cells in the stalk base. Loop/snare removal may "perforate" bowel integrity but that is preferred. Many times this is reason for open/robotic directed colectomy. Discuss plans for follow up with you GI doc. Ask about pathology report. ...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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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?

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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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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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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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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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


Colonic (Definition)

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