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Colon Adenoma


Colon


Obesity at young age may raise colon adenoma risk.: An article from: Family Practice News [H] [T] [M]

Michele G. Sullivan (Digital) International Medical News Group 2010-05-15
Release date: 2010-07-01


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Answers

Colon Polyp- Tubular Adenoma with High Grade Dysplasia?
Villous Adenoma of the Sigmoid Colon

I just had a colonoscopy done and a very small polyp was found and removed. The pathology result was a precancerous polyp called Tubulas Adenoma with High Grade Dysplasia.
My doctor said that he believed that he removed the polyp completely as best as possible during colonoscopy. But, he strongly recommend another colonoscopy done in 1 year. If the polyp does not re-occur, and if no new polyp develop, it will mean that it's a good sign and I don't have to have another colonoscopy in 3 years. Has anyone have any experience with this type of situation? Pls. share your experience, comments and advice so I'll have an idea of how to go through with this on my own. Thanks.


sorry you are in this situation. we have a strong family history of cancer so i regularly have colonoscopies. one year they found polyps and removed them and said i had to come back in one year. they also advised a healthier diet, eg more fruit and veg, and other fibre. i had the colonoscopy again a year later they said i was fine then. since then i have gone back to the three year thing. i never needed any other treatment so please dont panic, remember these cells are PRE- cancerous, means they have caught it. if you had an urgent problem they would have you in hosp next week. it happened to my mum. (shes fine now btw, ten years later). dont know if your female but for cervical cancer its relatively common for pre-cancerous cells to be found. they remove them, test more often for a period of time, then its back to routine. so its a similar scenario for colonoscopies, they have caught things in good time and are taking precautionary measures.

stay positive my friend, you are in good hands.

Histopathology Colon --Adenocarcinoma


Histopathology Colon --Adenocarcinoma

When told you have invasive adenocarcinoma, moderately differentiated arising in tubular adenoma extending to?
Villous Adenoma

involve the cautery after having had a polypectomy , exactly what key words am I looking for to see if this thing has metastasized, and which organs it might potentially have migrated to? and why would the diagnostic report read 2 icd codes, ie 153.9 malig neop colon unspec and 211.3 benign neoplasm of colon. Is it just me or is the medical industry so rusheed that they are not able to answer questions like this????
Panda, sure hope you get this one,
Thanks to all


From what you wrote it's impossible to say if the tumor has metastasized. It only says you had a benignant polyp (tubular adenoma) which went malignant. From my experience as pathologist, colonic polyps are going malignant pretty often. Moderately differentiated means the tumor is not very aggressive like a low differentiated one.
For metastasis, you will have to undergo an CT scan or MRI looking for lymph nodes involvement and possible metastasis in liver, lung, peritoneum.
The diagnose is reported with 2 codes because you have in the same time a benign tumor (tubular adenoma) and a malignant one (adenocarcinoma).
Good luck

Colon Cancer 3 years after clean colonoscopy?
Colon cancer

I have had bowel problems most of my life (flat stool, blood, cramps) 4 years ago at 22 I went for a colonoscopy and they found 1 small 1mm size polyp which turned out to be an adenoma. So I went back a year later and was clean. They said I have a spastic colon and hemmorhoids and come back in 3 years. It has been 3 years and I am going for another on Tuesday. My symptoms are a little worse than before. Is it possible to have colon cancer 3 years after a clean colonoscopy at my age?


Its possible; however, its not likely.

What to do about colon cancer?
Traditional Serrated Adenoma of Colon

My dad just got out of surgery to remove a part of his colon and the surrounding lymph nodes due to some growth. The surgery was successful and we are going to see an oncologist soon. I was wondering about the following writeup:

B. Colon, Left, Resection:
-Infiltrating adenocarcinoma, moderately differentiated, superficially invasive (invasive in the submucosa), arising in a large tubulovillous adenoma (4.0 cm) showing multiple foci of severe dysplasia
-One out of seventeen (1/17) pericolonic lymph nodes shows evidence of metastatic disease

What does this exactly mean? What are chances of survival? What is everything I can do to increase those chances?
My dad also had a CT scan about two weeks ago and everything was fine with that.


It means its at the stage where its still curable. I had 8 out of 20 lymph nodes affected, and I finished chemo 2 months ago, and so far so good. It becomes more of a risk when more lymph nodes are affected, and if spread to other organs, which it hasn't.

Am I to Young for Colon Cancer?
Traditional Serrated Adenoma of Colon

I have had bowel problems most of my life (flat stool, blood, cramps) 4 years ago at 22 I went for a colonoscopy and they found 1 small 1mm size polyp which turned out to be an adenoma. So I went back a year later and was clean. They said I have a spastic colon and hemmorhoids and come back in 3 years. It has been 3 years and I am terrified to go back. My symptoms are a little worse than before. Is it possible to have colon cancer 3 years after a clean colonoscopy at my age?


No, you're not too young. I was diagnosed myself at 20. Doctors said it was there since I was 15.

Colon cancer is very slow growing. If they do find a polyp, the chances that its advanced colon cancer are very low. So don't worry. Just have your colonoscopy and put your mind at ease. The point of regular colonoscopies is to find and remove the cancer before it is advanced.


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