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Doctor insights on: Villous Adenoma Polyp

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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?

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 more

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


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Is an adenoma and carcinoid polyps the same thing?

Is an adenoma and carcinoid polyps the same thing?

No: They are not the same......Adenomas are benign tumors in the colon and carcinoid tumors are not benign.....They could be low grade cancers but usually are not benign; they are cancerous, sometimes aggressive too. ...Read more

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Dad had tubular adenoma polyp removed at age 40. Heridatry? Symptoms of this?

Premalignant: Tubular adenomas can give rise to cancer if left in place, and having had one is a marker that he may get more. This does tend to run in the family. You'd do well to get occasional colonoscopies as health maintenance for yoruself. He should also continue to be checked. ...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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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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Is an advanced adenomas villious semi sessile 14 mm polyp in rectum another way of saying its cancer in situ?

Is an advanced adenomas villious semi sessile 14 mm polyp in rectum another way of saying its cancer in situ?

No: Villous adenomas are benign. They are considered pre-malignant, but not cancer. In-situ is the earliest stage of cancer, Stage 0. The two are definitely different. ...Read more

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What is the percentage for people over 60s to have colon tubular adenoma polyps?

See below: Please consult this publication for details: https://www. Ncbi. Nlm. Nih. Gov/pmc/articles/PMC3878153/
Wish you good health! - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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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?

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

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My pathology reports sated I have a. 4 CM rectal polyp, tubular adenoma, with no high-grade dysplasia or malignancy. When should a follow up be done?

My pathology reports sated I have a. 4 CM rectal polyp, tubular adenoma, with no high-grade dysplasia or malignancy. When should a follow up be done?

How was your prep?: "guidelines" are one thing but other considerations come into play when planning your next colonoscopy: 1) what was the method of polyp removal (could the technique used have left polyp material behind?); 2) what was the quality of your prep (if poor, your doc will want you back sooner to complete the exam so other polyps aren't missed); 3) risk of a polyposis syndrome brings you back sooner too. ...Read more

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Is a tubular adenoma colon polyp associated with lynch syndrome?

Not really: Lynch syndrome is an inherited disease that will cause polyps that will led to camper
Tubular adenoidal is a condition cam happen with or without lynch syndrome ...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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What can cause Diverticulitis, liver hepatic adenoma, rectal polyps and ovarian hemmoragic cysts.

What can cause Diverticulitis, liver hepatic adenoma, rectal polyps and ovarian hemmoragic cysts.

Separate problems: There is no particular cause for any of these, and certainly no single thing that causes them all. These are separate problems, which I assume were detected by some sort of abdominal imaging, probably a CT scan or MRI. Speak with the doctor who ordered the test and take it from there. ...Read more

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Dad hadTubular adenoma polyp in bowel. One doctor on here says heridatry other doctor says it's not so which is it heridatry or not?

Not so much: Tubular adenoma are the most common type found on screening colonoscopies. They can be seen in familial cancer syndromes, but usually they are just sporadic (random) and don't require additional screening in family members. Regardless, having blood in the stool is a risk factor and should be assessed. ...Read more

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I am 28.Had a colonoscopy and the doctor removed an 8mm polyp. The doctor said it was NOT an adenoma, but it was a sessile polyp. Is this pre cancer?

I am 28.Had a colonoscopy and the doctor removed an 8mm polyp. The doctor said it was NOT an adenoma, but it was a sessile polyp. Is this pre cancer?

Yes: Current concept even though all adenomas are benign if left alone may transform to malignancy over the time, so they are pre-cancerous, must be removed and need colonoscopy surveillance more frequently than normal population, just don't worry see your doctor on regular basis and under go procedure if advised. ...Read more

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Can a person develope obstructive colon cancer two years after scope that showed 1 hyper and 1 adenoma polyp and diverticulosis?

Yes: It is possible, although rare.
The most common explanation would have been a missed colon polyp during the past procedure, due to either poor colon prep (stool in colon) or incomplete procedure due to technical reasons.
Aggressive cancers (with genetic mutations - usually hereditary) can lead to obstructive cancer in a year. ...Read more

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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?

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

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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?

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

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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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What is a villous adenoma of the small intestine?

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

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Villous adenoma on appendix bloating painful stomach takes lg amounts of imodium (loperamide) 47 yrs old constant yeast infections since any ideas?

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

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Do all adenomatous polyps have signs of dysplasia?

No always: These should be removed and not left in place but not all adenomatious ployps have signs dysplasia. ...Read more

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What is a adenomatous colon polyp.?

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

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Are adenomatous polyps of the colon inherited?

They can be: Yes, they can be, especially in a genetic syndrome called Familial Adenomatous Polyposis (or FAP). ...Read more

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How can I prevent adenomatous polyps if family history?

How can I prevent adenomatous polyps if family history?

High fiber diet: And getting regular colonoscopies. Some data suggest nsaid's can reduce the incidence but that does not preclude getting regular colonoscopies. ...Read more

Dr. Murthy Andavolu
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Adenoma (Definition)

Adenoma = a ...Read more