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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?

No.: If you have close follow up and colonoscopies you can avoid cancer. You should start by having genetic testing to see if you have hnpcc syndrome. If you do you will need yearly or every other year colonoscopies. ...Read more

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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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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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Dr. Murthy Andavolu
1,344 doctors shared insights

Adenoma (Definition)

Adenoma is a term for a harmless tumor of gland tissue, including glands found in the intestines, kidney, ...Read more