Colon Polyps

Imran · New User Joined: 10 Apr 2008 Posts: 2

My mother had two colon polyps of 1.5-2.00 cm in the sigmoid colon. The GI refered her to surgeon for surgical removal. Later on another GI took it out through a colonoscop. He cut the polyps but left the stalk behind for removal after a month. The biopsy result shows: "Sections examined from each of the tissues coded "distal large colon" and "proximal polyp large colon" reveal polypoidal colonic mucosa forming tubulovillous configuration. The lining epithelium shows moderate to marked dysplasia in the form of large pleomorphic nulei extending up to the apical cytoplasm with prominent to inconspicuos nucleoli. Mitotic activity is noted at all levels. In areas infolding to the lining epithilium is also noted. The underlying stroma and the stalk show moderate chronic non-specific inflammation. No evidence of stromal invasion is identified. There is no evidence of malignancy in the material examined"

Now I am not sure if the decission of taking it out through colonoscope was right decission or it has to be a surgery? Can any one answer the question?

Thanks,

Mike

brainman · Posted: Sat Apr 12, 2008 3:44 pm Post subject: Re: Colon Polyps

Hi Mike. I am not sure what you are asking. The biopsy report says that is was a benign polyp so taking it out in the colonoscopy should be OK. She will just need follow-ups on a periodic basis to make sure in the future a polyp does not turn into a cancer.

Best wishes.
_________________
Jim
Site Administrator and long-term cancer survivor
1992 Astrocytoma grade 2, left motor strip
2005 Recurrence this time said to be an Oligodendoglioma grade 3, same location.
My Story Part 1: http://cancerforums.net/viewtopic.php?p=7350
My Story Part 2: http://cancerforums.net/viewtopic.php?t=8029
Blog http://jimhawkinsport.blogspot.com/

Imran · New User Joined: 10 Apr 2008 Posts: 2

I mean to say, is it possible that some high-grade dysplasia cells are left behind in the colon wall and are growing there? As the polyp touches the inner walls of colon, doesn't it leave cells behind into the colonic mucosa to grow?

Mike

[quote="brainman"]Hi Mike. I am not sure what you are asking. The biopsy report says that is was a benign polyp so taking it out in the colonoscopy should be OK. She will just need follow-ups on a periodic basis to make sure in the future a polyp does not turn into a cancer.

Best wishes.[/quote]
_________________
Imran, Calgary, Canada

brainman · Posted: Sun Apr 13, 2008 9:41 am Post subject: Re: Colon Polyps

Hi Mike. Yes, it is possible that some dysplastic cells where left behind and could with time morf into cancer cells. I know it is hard just to wait but that is what your mother will need to do for now. Nothing good can come from treating benign cells with chemotherapy and the same is true about further surgery or radiation. Your mother's medical team will just need to keep a close watch on her for any progression of the disease.

You and your mother are in my thoughts and prayers.
_________________
Jim
Site Administrator and long-term cancer survivor
1992 Astrocytoma grade 2, left motor strip
2005 Recurrence this time said to be an Oligodendoglioma grade 3, same location.
My Story Part 1: http://cancerforums.net/viewtopic.php?p=7350
My Story Part 2: http://cancerforums.net/viewtopic.php?t=8029
Blog http://jimhawkinsport.blogspot.com/

Sharon727 · Regular Joined: 23 Jun 2008 Posts: 27

I had 5 polyps removed 4 to 6 cm in size that were revealed at biopsy to be adenomas which are pre-cancerous polyps. These will always become cancer from what I have read...actually considered stage 0 colon cancer. My doctor was very upbeat when he gave me this news..he said good news... they are out..bad news colonoscopy every 3 years. When I did not schedule at 3 yrs they tracked me down via relatives (we had moved & phone no. changed) to schedule. Apparently these type of polyps are a big deal. Your mom's were benign. It is my thought that if they required no follow up she will be fine. Me, on the other hand, not so good! And I am only 37

DJL · Regular Joined: 26 Apr 2008 Posts: 10

Sharon,

My daughter (age 35) had a colonoscopy after my cancer was discovered.

They removed 9 polyps, 7 of these were precancerous.
I thank God the polyps were removed before they turned into cancer.

She was told she will need a colonoscopy every three years, but my
GP suggested she have her next one in about a year or so.

Hugs,
Dorothy
_________________
54 year old Female
Diagnosed with rectal cancer 10/02/2007
Chemo & Radiation
Permanent Colostomy & Rectum Removed 01/21/2008

REB · Posted: Mon Jun 23, 2008 1:16 pm Post subject: Re: Colon Polyps

I didn't have a colonoscopy until after I was done with chemo and right before my colostomy reversal.

I was surprised, and happy they found no polyps.

This makes me wonder about what caused my cancerous tumor, and just how long had it been there?
_________________
10/01/07 - Removal of Stage III Colon Cancer Tumor and Temporary Colostomy
Started Chemotherapy 11-07-07 - FOLFOX regimen - 5-FU (5 Flurouracil) and leucovorin, oxaliplatin. Also Avastin
Last Chemo treatment 04-09-08, Colostomy Reversal 04-28-08 Age:41

DJL · Regular Joined: 26 Apr 2008 Posts: 10

What's sad about my story is the fact my GP was treating me for internal hemorrhoids for over a year.
When I demanded a colonoscopy the surgeon found no sign of hemorrhoids.
All along it was the tumor causing the bleeding problems.

Hugs,
Dorothy
_________________
54 year old Female
Diagnosed with rectal cancer 10/02/2007
Chemo & Radiation
Permanent Colostomy & Rectum Removed 01/21/2008

Sharon727 · Regular Joined: 23 Jun 2008 Posts: 27

I hear you!! I bled for over three years and was told it was IBS and given anti-spasmoidal medication, then they told me to eat more fiber, then they told me it was hemorrhoids even though they didn't see anything with sigmoidoscope...these were the speicalists!!?? Finally, my PCP scheduled the colonoscopy himself and that's when the polyps were found. They assumed that since I was only 31 and female, it was anything but cancer related. My PCP said I would have never made it to routine screening at 50, so I thank God he kept pushing! My mother-in-law buried her first husband at 38 because of colon cancer and that was 42 years ago. It is scary to think that all these years later they are still dismissing this in young people. My friend had surgery at age 34 to remove two very large tumors after years of them dismissing his bleeding as well and my friend's high school sweetheart just died at 37 from colon cancer...same scenario. They assume it just couldn't be. It is very sad as everything you read says how curable this is if it is found in the early stages and yet they aren't looking!! If i would have just run with the hemorrhoid diagnosis who knows where I would be!! Thank goodness your daughter went.

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