Doctor insights on:
How Serious Are Adenomatous Polyps Of The Colon
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
Size, pathology: All adenomatous polyps should be removed. If they are too large to remove endoscopically, then surgery is usually warranted. If the polyp is removed completed on colonoscopy, but has a suspicious or worrisome pathology, then surgery is sometimes required to complete the resection. However, if the pathology is benign, then usually no further treatment is needed. ...Read more
In my 30s.Eat healthy diet,normal weight,exercise.Have had 5 colon polyps removed between my last 2 colonoscopies? 4 benign,1 tubular adenoma.Common?
Follow-up care: Colon polyps are not normal, but it is good that you had colonoscopy to have these removed. Do you have family history of colon cancer? Even if you do not, do follow your doctor's advice for follow-up colonoscopy at no more than five years from now. Wish you good health. ...Read more
In my 30s. Eat healthy diet and exercise. Have had 5 colon polyps removed between my last to colonoscopies? All benign. 1 tubular adenoma. Risk?
Real risk: Your diet and exercise have little or no impact on your likelihood of developing colon cancer, but are very much worth doing for their own sake, for the fitness satisfaction, and other health benefits. This is mostly about your genes and dumb luck. You'll want to be 'scoped fairly often and little lesions removed promptly to reduce your risk greatly. ...Read more
Is there any correlation between h/o breast & cerv cancer, and growing lumbar hemangioma & adenomatous & hyperplastic colon polyps, w/o cancer gene?
None of these: Are linked genetically, to environmental exposures, or familial clusters. ...Read more
Abnormal gowths : Neoplasia is a general term to describe abnormal growth pattern, cancer-like, unregulated by normal bodily control systems. Some colon polyps are destined to become cancerous, some are not, so all polyps are usually removed when they are found so we can distinguish the difference under the microscope, not by appearance which can fool you. ...Read more
Some: There are different types of colon polyps. Some will not turn into cancer. But many (adenomatous polyps in particular) have a high likelihood of turning into cancer if not removed. We think that most colon cancers start as polyps. That is why we recommend colonoscopy at age 50. If you have a precancerous polyp, it can be removed before you get cancer. ...Read moreSee 2 more doctor answers
By scope vs. surgery: If your colon polyps are identified colonoscopically, they can be removed piecemeal by cold biopsy, or cauterized by wrapping a snare around the polyp & adding electricity. Even large polyps can be colonoscopically removed in their entirety by emr (endoscopic mucosal resection). Invasive adenomas, dysplastic polyps, & frank malignancies may require surgery (usually laparoscopic). ...Read more
Yes and No: Removal of colon polyps depend on their size. Smaller polyps with a narrow base can usually be removed easily at the time of colonoscopy. Larger polyps, and those with a broader base cannot be completely removed by colonoscopy at times, and may require colon resection. ...Read moreSee 1 more doctor answer
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
Prevention is key: Once you have been identified as a person in whom adenomas (pre-cancerous polyps) develop: 1) first remove the polyps; 2) schedule surveillance to rule out new polyp development; 3) prevention by behavior & diet. Current recommendations for the latter include: use of daily low-dose aspirin, weight management, reduction of dietary animal fats, optimized fiber intake, calcium supplementation. ...Read more
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