Doctor insights on:
Flat Polyp In Colon
Yes: Truly either pedunculated (i.E with stalk) or sessile (flat) can harbor a malignant or pre-malignant lesion. The flat ones are a little more worrisome, and size of lesion also plays a role. Biopsy is the key to diagnosis - if the lesion is large and flat, there is always the possibility that malignancy may exist elsewhere within the lesion and surgery or close follow up may be needed. ...Read more
Is endoscopic mucosal resection for a flat difficult colon polyp more dangerous that traditional surgery to remove that section of the colon?
Polyp: Endoscpic mucosal resection is safe in the proper hands. It is an outpatient procedure and does not require general amesthesia, follow up dpends on histopathology. ...Read more
Not necessarily: ...As some polyps do not develop into cancer. That said, if you have "many" polyps, it may be to your benefit to visit a specialist in cancer genetics. Some folks carry inherited traits (genes) that lead to polyposis and different kinds of cancers. Talk to your pcp or gastroenterologist about this. ...Read more
What do you advise if I was told that I have many polyps and a flat polyp on the right side of my colon. Could that mean cancer?
The polyp was flat and the doctor said he thought he got most of it out but he was not sure. Are polyps in the transverse colon more likely to be cancerous.
No, however...: To the best of my knowledge polyps in the transverse colon have no greater risk of becoming cancerous than in other locations. Some varieties (adenomatous vs. Hyperplastic) are more likely to become cancerous. I'm sure your polyp will be checked for signs it was precancerous. Your doc will likely do another colonoscopy in about 3 years so if any was left it can be removed at that time. ...Read more
16mm flat polyp removed and endo clips put in to seal where removal occurred in my colon---been three days and I still feel abdominal cramp-normal?
Check with doctor: 13mm is half an inch, so 16mm is a little more than that. There's some inflammation (redness, pain, swelling) at the healing spot, but one can call the GI doctor to see if the healing is on schedule, compared with the doctor's experiences with his other patients who had similar polyps removed. One should be ready to describe the quality, severity, location, and duration of "cramps" to the doctor. ...Read more
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
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
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
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
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
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
Yes: There is no predisposition in polyposis to one portion of the colon over another although it may appear that the distal or lower colon may have more polyps than higher up. ...Read more
NO: If you remove it and follow your doctor's advice ...Read more
Different types: A polyp is a cluster of cells usually on a stalk representing transforming cells that may convert to Ca. A colon tumor is a area of bowel with malignant cells forming a discrete mass that can spread. Originally thought all Ca's of colon arose from polyps but now found that there is a transforming field effect in bowel where certain sites become polyps, not all converting and other sites, Cancer ...Read more
Your doctor will exp: I am sure your doctor would be happy to explain. Surgical removal means an operation to remove the polyp. There are two types of operation: open surgery or laparoscopic surgery (this one is a mini operation with smaller cuts as compared to open surgery which is a bigger cut). But talk it over with your surgeon. ...Read more
Through most of: The colon, altho sometimes the rectum is relatively spared. ...Read more