Doctor insights on:
Villous Adenoma Of The Cecum
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
Premalignant tumor: Neoplasms of the small bowel are unusual comprising less than 2% of all malignant neoplasms of bowel . They manifest with non-specific symptoms and frequently can be missed in the usual screening tests because they are flat and carpet like in appearance. Villous adenomas are often associated with larger adenomas and more severe degrees of dysplasia and are of concern primarily because of the risk of malignant transformation (approximately 15-25% overall) ...Read more
39y/o, had 2 polpys removed (sigmond & descending, villous adenoma w/high grade dysplasia). Will i get colon cancer even though 2 polyps were removed?
Not sure if: Family history or leeding led to your colonoscopy, but it showed its value. You are not predestined to get invasive cancer, but the findings warrant follow up to snip dangerous polyps before they invade, and gain access to nodes and blood steam. Your colonoscopist can tell you schedule for surveillance. ...Read moreSee 1 more doctor answer
Villous adenoma on appendix bloating painful stomach takes lg amounts of imodium (loperamide) 47 yrs old constant yeast infections since any ideas?
Yeast in the vagina.: Comes from colon, if chronic diahrea, more opportunity, keep Diflucan (fluconazole) around at 150-200 mg. As for the diahrea, a medicine called wellchol, a bile acid sequesterant may help; probiotics.Low dose opiod may help if miserable but make that last resort. If alternating constipation and diahrea, may have irritible bowel component (ibs). Appendectomy shouldn't create diahrea, keep colonoscopy up 2 date. ...Read more
I'm 36 and had a 5mm sessile adenoma removed from my cecum. How often should I get a colonoscopy now and is this adenoma of high risk for cancer?
5 years: It is some thing you should discuss with your GI doctor. In general getting a repeat colonoscopy in 5 years is safe. You may consult this site for more information on this topic: http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations ...Read more
Laparoscopic surgery: Also called minimally invasive surgery, usually three or four small incisions are made in the abdominal wall, about 1/4 to 1/2 inch in length. Then a small tube is inserted into each incision and the abdomen in inflated to allow space to see the inside of the abdomen with a camera, mounted on one of the tubes. The cecum is removed and intestine reconnected with specially designed staplers. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer