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Does Sessile Polyps Re Occur After Being Removed?
Question: Am 25. Had a sessile polyp removed do i have to worry about cancer
Brief Answer:
No need to worry but please follow up as directed
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
I have read through your query in detail.
It is said that sessile polyps larger than 2 cm usually contain villous features, have a higher malignant potential, and may recur following colonoscopic polypectomy. If complete polyp removal has been done then that is best.
The resected polyp must be completely examined pathologically. Histologically, adenomatous polyps can show a benign adenoma (tubular, tubulovillous or villous), carcinoma in situ, or invasive cancer. If you have been cleared of a cancerous polyp then there is no need to worry.
In patients with 1 or 2 small (< 1 cm) tubular adenomas with only low-grade dysplasia, follow-up colonoscopy in 5 to 10 years. Timing within this interval should be based on other clinical factors (e.g., previous colonoscopy findings, family history, patient preferences, judgment of the physician).
In patients with 1 or more sessile serrated polyps < 1 cm with no dysplasia, follow-up colonoscopy in 5 years is suggested.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
No need to worry but please follow up as directed
Detailed Answer:
Hi XXXX
Thanks for writing in to us.
I have read through your query in detail.
It is said that sessile polyps larger than 2 cm usually contain villous features, have a higher malignant potential, and may recur following colonoscopic polypectomy. If complete polyp removal has been done then that is best.
The resected polyp must be completely examined pathologically. Histologically, adenomatous polyps can show a benign adenoma (tubular, tubulovillous or villous), carcinoma in situ, or invasive cancer. If you have been cleared of a cancerous polyp then there is no need to worry.
In patients with 1 or 2 small (< 1 cm) tubular adenomas with only low-grade dysplasia, follow-up colonoscopy in 5 to 10 years. Timing within this interval should be based on other clinical factors (e.g., previous colonoscopy findings, family history, patient preferences, judgment of the physician).
In patients with 1 or more sessile serrated polyps < 1 cm with no dysplasia, follow-up colonoscopy in 5 years is suggested.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I had a scope lessthan a yearago and it wasnt there
Brief Answer:
Pathological analysis of polyp is important
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Its important to know what is the pathological analysis of the polyp. Polyps are classified pathologically after removal and the surveillance depends on the cellular makeup of the polyp. If your reports mention it as a benign poly then cancer is unlikely but regular scopy might be done in discussion with your doctor.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Pathological analysis of polyp is important
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Its important to know what is the pathological analysis of the polyp. Polyps are classified pathologically after removal and the surveillance depends on the cellular makeup of the polyp. If your reports mention it as a benign poly then cancer is unlikely but regular scopy might be done in discussion with your doctor.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Is it common for a 25 year old to have a polyp
Brief Answer:
15 to 20 % of all adults in US have polyps
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Medical literature says and I quote "Approximately 15–20% of all adults and 30% of people over the age of 50 in the United States have intestinal polyps. They are more common in Western countries, perhaps due to a diet that is high in animal fat (e.g., red meat) and low in fiber."
Please do not worry much about having a single polyp but be aware about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
15 to 20 % of all adults in US have polyps
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Medical literature says and I quote "Approximately 15–20% of all adults and 30% of people over the age of 50 in the United States have intestinal polyps. They are more common in Western countries, perhaps due to a diet that is high in animal fat (e.g., red meat) and low in fiber."
Please do not worry much about having a single polyp but be aware about it.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
But I am only 25
Brief Answer:
Polyps are rare in 25 years old adults
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Its rare to find a polyp in a 25 years old person as you. There are many types of polyps which are mainly classified as hyperplastic and adenomatous. Histology 9examination of tissue under a microscope) is the best way to differentiate between hyperplastic and adenomatous polyps. Although it’s impossible to tell which adenomatous polyps will become cancers, larger polyps are more likely to become cancers and some of the largest ones (those larger than 1 inch) can already contain small areas of cancer. Therefore it is best to remove polyps and do microscopic examination and advise the patient for follow up as necessary.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Polyps are rare in 25 years old adults
Detailed Answer:
Hi XXXX
Thanks for writing back with an update.
Its rare to find a polyp in a 25 years old person as you. There are many types of polyps which are mainly classified as hyperplastic and adenomatous. Histology 9examination of tissue under a microscope) is the best way to differentiate between hyperplastic and adenomatous polyps. Although it’s impossible to tell which adenomatous polyps will become cancers, larger polyps are more likely to become cancers and some of the largest ones (those larger than 1 inch) can already contain small areas of cancer. Therefore it is best to remove polyps and do microscopic examination and advise the patient for follow up as necessary.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
At 25 is it most likely benign? How
Can one be certain that all the polyp
Was removed during yhe colonoscopy? What percent of them
Are precancerous and cancerous
Can one be certain that all the polyp
Was removed during yhe colonoscopy? What percent of them
Are precancerous and cancerous
Brief Answer:
Single polyps usually benign but size matters
Detailed Answer:
Hi XXXX
Thanks for writing in with an update.
At age 25 years single polyps are usually benign however this needs double confirmation by looking under the microscope.
Certainty regarding removal of the entire polyp can be confirmed by the pathology report and subsequent scopy done after a while.
Lots of research has been done on this topic. A recent study has shown that the risk of a polyp no larger than 5 mm harboring high-grade neoplasia is less than 1%, and the risk of its harboring cancer is negligible. However, polyps larger than 5 mm in size were shown to have a 3% chance of harboring cancer and the chance increases with increasing polyp size.
Hope your query is answered.
Do write back if you have any further doubts.
Regards,
Dr.Vivek
Single polyps usually benign but size matters
Detailed Answer:
Hi XXXX
Thanks for writing in with an update.
At age 25 years single polyps are usually benign however this needs double confirmation by looking under the microscope.
Certainty regarding removal of the entire polyp can be confirmed by the pathology report and subsequent scopy done after a while.
Lots of research has been done on this topic. A recent study has shown that the risk of a polyp no larger than 5 mm harboring high-grade neoplasia is less than 1%, and the risk of its harboring cancer is negligible. However, polyps larger than 5 mm in size were shown to have a 3% chance of harboring cancer and the chance increases with increasing polyp size.
Hope your query is answered.
Do write back if you have any further doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Im concerned because the polyp looks multicolored
Brief Answer:
Please refer to scopy description
Detailed Answer:
Hi XXXX
Thanks for writing in with an update.
Polyps can be of many colors and appearances and colors may not indicate the aggressiveness of a polyp appropriately. The tissue covering a polyp may look the same as normal colon tissue, or, there may be tissue changes ranging from subtle color changes to ulceration and bleeding. If your doctor has not mentioned any suspicion about the appearance of the polyp then there is no reason to worry.
Hope your query is answered.
Do write back if you have any further doubts.
Regards,
Dr.Vivek
Please refer to scopy description
Detailed Answer:
Hi XXXX
Thanks for writing in with an update.
Polyps can be of many colors and appearances and colors may not indicate the aggressiveness of a polyp appropriately. The tissue covering a polyp may look the same as normal colon tissue, or, there may be tissue changes ranging from subtle color changes to ulceration and bleeding. If your doctor has not mentioned any suspicion about the appearance of the polyp then there is no reason to worry.
Hope your query is answered.
Do write back if you have any further doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Here
Brief Answer:
Polyp in picture looks harmless
Detailed Answer:
Hi XXXX
Thanks for writing in with an update.
The polyp in the picture looks mostly harmless but must be confirmed with microscopic examination after its removal. Please discuss it further with the doctor who removed the polyp
Hope your query is answered.
Do write back if you have any further doubts.
Regards,
Dr.Vivek
Polyp in picture looks harmless
Detailed Answer:
Hi XXXX
Thanks for writing in with an update.
The polyp in the picture looks mostly harmless but must be confirmed with microscopic examination after its removal. Please discuss it further with the doctor who removed the polyp
Hope your query is answered.
Do write back if you have any further doubts.
Regards,
Dr.Vivek
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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