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Doctor insights on: Tubulovillous Adenomas

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What exactly is a tubulovillous adenoma?

What exactly is a tubulovillous adenoma?

Growth in the colon: It is a type of polyp or growth in the colon which is usually removed at colonoscopy. These can develop into more serious cancers if not removed. ...Read more

Dr. Murthy Andavolu
1,358 doctors shared insights

Adenoma (Definition)

Adenoma = a ...Read more


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Iv'e just been told I have a tubulovillous adenoma with low grade dyspiasia and have to go and have it removed, does that mean its cancerous, ?

Iv'e just been told I have a tubulovillous adenoma with low grade dyspiasia and have to go and have it removed, does that mean its cancerous, ?

No: Tubovillous adenoma has potential to become malignant, low grade dysplasia means not (yet) malignant , get it removed keep your worry away, you will be fine. Your doctor will explain to you. ...Read more

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Had a tubulovillous adenoma w/hgd removed via right-hemicoloectomy. Why does a repeat colonoscopy have to be done in a year if polyps grow slow?

Had a tubulovillous adenoma w/hgd removed via right-hemicoloectomy.  Why does a repeat colonoscopy have to be done  in a year if polyps grow slow?

One year is correct: Colon cancer develops from a polyp with high grade dysplasia. A history of dysplastic polyps puts you at high risk of forming new polyps and the pace of growth is uncertain, especially in a young age group. There are clear guidelines put out by the american cancer society on the suggested followup for colon polyps. If your next colonscopy shows no polyps, they will extend the time interval. ...Read more

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I have just had a colonoscopy. they removed 2 polyp. 1 is normal. 2nd is Colon-sigmoid is Tubulovillous adenoma demonstrating mainly low grade dysplas?

I have just had a colonoscopy. they removed 2 polyp. 1 is normal. 2nd is Colon-sigmoid is Tubulovillous adenoma demonstrating mainly low grade dysplas?

Sounds: like the colonoscopy was a "success" it resulted in a possibly "PRE-malignancy!! Follow the GI expert's advice as to your next follow-up scope!\
Congrats on having that test!!!!

Hope this is helpful
Dr Z ...Read more

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Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?

Colon:multi foci adenocarcinoma in situ &tubulovillous adenoma.Doctor suggest colonscopy to remove adenoma but another suggested surgery.Which better?

Depends: The 2 important factors to consider are the size of the polyp ; your health status. If the polyp is small and your health is not good, colonoscopic removal may be your best bet. If the polyp is very large ; your are in good health, surgery may be the wiser option. ...Read more

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Colon biopsy:huge tubulovillous adenoma with marked atypia, multi foci adenocarcinoma in situ &one tiny focus suggestive of micro invasion.Is it cancer?

Colon biopsy:huge tubulovillous adenoma with marked atypia, multi foci adenocarcinoma in situ &one tiny focus suggestive of micro invasion.Is it cancer?

Yes: Adenocarcinoma in situ is cancer. The area suggestive of micro invasion suggests you should have rather aggressive followup screening which I am sure your doctor has, or will soon suggest. Stay on top of this and follow his/her advice. ...Read more

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My father aged about 76 yrs went through coloscopic surgery. The biopsy report says:-tubulovillous adenomas with focal high grade dysplasia. Pl.

Close follow up: If the polyp is entirely removed, then recommend 6 mo or so repeat colonoscopy to make sure the lesion does not recur. Talk to your GI doc. ...Read more

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Colonoscopy 1 yr ago found 5 polyps; two Tubular adenoma under 2cm, two 2-5cm, one Tubulovillous 10-20CM. successfully removed. When should I go back?

Colonoscopy 1 yr ago found 5 polyps; two Tubular adenoma under 2cm, two 2-5cm, one Tubulovillous 10-20CM. successfully removed. When should I go back?

Five years: Recommendations are that if you have adenomas five to ten years. Normal ten years. two small adenomas should not change this UNLESS you have risk factors such as a positive family history.
In your case I think it reasonable and consistent with the guideliines to repeat in five years. ...Read more

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What sort of problem is an adenoma?

Pre-cancer lesion: An adenoma is a lesion that is a precursor to cancer. If left alone, it may progress to a cancerous lesion. ...Read more

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Where can a acinar adenoma develop?

Where can a acinar adenoma develop?

In ducts: "acinar" cells are cells that secrete a substance into a duct. An adenoma is a benign growth. Acinar adenomas are benign tumors most commonly found in the pancreas and salivary glands, but have been found in the ventricles of the brain and other areas. They are rare. ...Read more

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Should a hepatic adenoma always be removed surgically?

Not Necessarily: Small adenomas have a lower cancer and hemorrhage risk. If they become large, such as >5 cm, the cancer and hemorrhage risk increases and most recommend removing them at that time. They are made worse by oral contraceptives so these should not be used. ...Read more

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Is their any chances of having Polymorphic adenoma again?

Pleomorphic adenoma: If you mean pleomorphic adenoma of the salivary gland, the chance of recurrence is low. Only if a part o the tumor does not get removed will it recur. See this site for more details.
http://emedicine.medscape.com/article/1630933-overview#a1 ...Read more

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How do you find out if they (adrenal adenomas) are functional or not?

Excess of Hormones: If the adrenal gland tumor/adenoma is producing excess of hormones, then it is called functional. The hormone levels can be easily measured in the blood and that gives us the final answer. Of course, the excess of hormones produces medical conditions which are well known to your doctor...they usually cause high BP and something called Cushing's Syndrome. Your doctor can explain it better. ...Read more

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My husband has a villous adenoma the size of a strawberry. Is this serious?

Very: Colon polyp, right? These have a strong tendency to turn into cancer and are also a marker for someone likely to get more tumors. It's coming out, I hope. ...Read more

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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

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Is it possible to develop another tubular villi adenoma after a removal only 2.5 yrs ago? I am 34 / female Thank you

It is possible: One reason to repeat a colonoscopy 1-2 years after removal of an adenoma is to be sure it didn't grow back, and that nothing else was missed. If a repeat colonoscopy is negative, then perhaps you can wait longer. Speak to your gastroenterologist. ...Read more

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Had colonoscopy 9 years ago, was 23 then found 1 very small adenoma, repeat scopes at 1 and 4yrs clean, now back at 5yrs should I be nervous?

Do not be nervous: Colon cancer is a slow growing cancer. As long as you get colonoscopies when recommended they should be able to remove the adenomatous polyps that may turn into colon cancer. It is usually thought that it takes anadenomatous polyp 10 years to turn into cancer. ...Read more

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What is a cecal adenoma ?

What is a cecal adenoma ?

Benign: Non malignant but need to be watch closely with repeated colonoscopy. ...Read more

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Is a fibro adenoma cancerous?

Is a fibro adenoma cancerous?

No: Fibroadenoma is benign and not considered cancerous. ...Read more

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How is bronchial adenoma diagnosed?

Scan and biopsy: A scan of the chest should show it and a biopsy should confirm it. ...Read more

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What exactly is a pituitary adenoma?

What exactly is a pituitary adenoma?

A type of tumor: Pituitary adenoma is a benign tumor that arises from the glandular tissue. It can oversecrete hormones normally made in the gland like growth hormone, prolactin etc., . ...Read more

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How are the pituitary adenomas cured?

How are the pituitary adenomas cured?

Surgery: Surgery is the best treatment for pituitary adenomas unless it is one that produces prolactin, in which case, a pill (medication) might be able to shrink and control it. If it's small (< 1 cm) and is non-functioning, you might not need to do anything to it except follow it with imaging studies (MRI) to make sure it doesn't grow in the future. ...Read more