
Is It Possible Diagnose Cancer During Colonoscopy For Polyp Removal?

suspected cancer of intestine
Detailed Answer:
Hi!
I am deeply saddened to know the kind if miseries you had been facing during the process. You seems like a real brave person to have coped with everything with courage. As it was quite shocking the way it has been put up to you. I know a lot must have been spinning through your head, which needs to be answered, as now is the time to think what needs to be done next rather then denying it as you seem like a real practical person.
Let me reassure you, that there are a lot which is still not convincing and we need to discuss all your issues in detail, and I will try to make it easy for you to bring you on the same page.
First of all, normally presence of long standing diarrhea, or bleeding in stool or black colored stools are common presenting features in such cases along with significant weight loss and low hemoglobin which is incidentally found on routine screening. You need to clear your head and think about presence of any of these. Here a very non-invasive or pain free test is detection of occult blood In stool and I would recommend you to have it.
Secondly, if polyp was found or colonoscopy, was biopsy sample taken at that time? Biopsy means taking a piece of that polyp and have it examined under microscope to know any presence of cancer cells.
Also that, if polyp was removed with colonoscopy then it can further be tested with detailed histopathology.
Also that, there are certain blood tests like looking for CAE a tumor marker, in blood for cancer of intestine.
It is only after all these evidences and having CT abdomen with contrast, to decide for surgery but for that many cross opinions should be taken.
Keep me updated about all these. And stay relax as a lot needs to be answered before coming to that conclusion.


I forgot to mention no weight loss before the colonoscopy the doctor did take a test of my stool in his office and send me off I am someone who ALWAYS check my poop when I go to the bathroom to see if blood is in it and I myself lost weight because I am on a diet and eat a lot of salad so I did not loose weight or anything like that I am still physically working out and I use a sweat suit to let me sweat while working out I have no long history of loose bowling movement or anything like that that's why I feel something happened during the first colonoscopy and he wanted me back to see how I was doing that's my only solution I have my regular visits with my gp every 3 months he takes blood test and if something was wrong he would have called me right away the only thing he told me the last time is that I have some white cells in my urine I work out hard work a lot of overtime and still go school my only feeling is feeling sleepy at times as I don't get enough sleep after the colonoscopy the doctor pulled me in the back and told me there was some cancer cells when he had already removed the polyp the first time and then wait 6 weeks when I get the other colonoscopy to tell me this when I was diagnosed the first time I was called into the office in a weeks time. Help I am not In denial but if your gut tells you something then go with it
further clarification
Detailed Answer:
Hi! I am doing fine and thanks for asking. It was also helpful mentioning all the details and context in which you have been asking about your illness.
Actually, it would have been even more helpful if you had scanned the reports or details of visits or your clinical summary on history section.
What I got through your end of story, it seems that they might have removed polyp on 2nd colonoscopy and sent it for histopathology, or it might have been sohmoidoscopy only and not detailed colonoscopy and they ight have waited for that to heal and afterwards meanwhile had sent the polyp for histopathology to look for cancer cells and once on your followup visit, report must have arrived after six weeks and they might have decided to do detailed colonoscopy and also might have looked for other possibilities.
The surgery, they are planning must be after concrete evidence. As I still don't know about results of those tests, I would be in better shape to explain you those if I get those reports.
I also suggest you to get a second opinion with another gastroentrologist and surgeon for reassurance and to know what they are upto.
Also when you go for the visit with your previous doctors, you ask the doctor to council you upto your satisfaction and clarify all the doubts as you are not convinced. This is your right to ask until you are satisfied with the procedure. Ask them for the reports so that you can discuss with a gastroentrologist in detail and a surgeon.
Looking forward to your progress. Keep me apprised. Take care.


polyp details
Detailed Answer:
Hi! Then you must ask for pathologist opinion and report of the polyp if it was removed, and underwent microscopic/histopathology review about the polyp.


second opinion
Detailed Answer:
Hi!
First of all sorry for catching up a little late. I was away for weekend. Hope you can understand that.
Having said that, it would be an honor regarding your offer. And I'll hope that sometime in future may happen to visit US. In that case it would be lovely to have some friends there.
Regarding your case is concerned. It was very considerate of you to get a second opinion. I hope you got my point, as it is a huge diagnosis to get treated for. So it is allways best to get a second opinion in such cases.
As I mentioned earlier that there are alot of ambiguities, in the things you had shared. It is good to get all those reports, reviewed by another doctor.
It would be equally good if you can share those reports with me too. You can scan those documents and share. In that way I will be able to comment about it even further. Meanwhile keep me updated about the followup visit. Thanks again for your warm replys.


reporting details
Detailed Answer:
Hi! The best thing in those reports you shared are that, on utrasound nothing alarming had come up, however CT abdomen , and reports of both colonoscopies will give alot of information.
Also that, try getting the copy of pathologist reports. That would be suggestive of what we are dealing with. Try to get the scanned copies of the reports, and in that way you will not need to type whole reports, as that may be little inconvenient for you. Wishing you luck with the diagnosis on second opinions. I hope everything comes out fine. Regards.


closing remarks
Detailed Answer:
Anxiously looking for to it. Chao.


So I went to the doctor yesterday (I had an appointment when I got there I asked the secretary for the copies of my medical. She asked me if I wanted to see the doctor and I said yes I will still see him. I was sweating bullets because I didn't know what he was going to tell me. When I got into his office and sat down he told me to talk I begin to speak telling him that when I took the colonoscopy on the 15th May doctor tracer told me the polyp was large but benign and he did not want to bore in my colon, I lied and told him I had it taped on my other phone. It told him that the 2nd colonoscopy was shouldn't have been down since I was told the polyp was removed. He said let him talk he then told me the test it came back benign every thing came back benign and the only reason he told me to have the 2nd colonoscopy was because the polyp was large and it couldn't be moved I have to get a surgeon to do it. I know he is lying he wants to cover his friend of over 30 years. I know they either made a tear in my colon and wants to fix it. He still insists that I go for the surgery which I said I will go he told me he will get surgeon to do it for me, but I don't trust this doctor now so I would rather someone else do it After all the stress they put me through I even thought of killing myself one day and as doctors to lie to me, no I am not going to XXXXXXX them but Know in my heart its all about the money but not at the expense of someone's life but a weight has been lifted off my shoulders and he said after the surgery I can see him in another 5 years. Yes if I am alive I will go get checked out but will not go back to him
surgery plan
Detailed Answer:
Hi! Thanks for sharing the details. Havibg said that, Many many congratulations on having a clean chit from cancer. I told you already, it was a very premature diagnosis and alot has to proven yet.
It was so considerate of you to get second opinion and virtue of which you got some reassurances and rethinking from your primary doctors.
I would still prescribe you, if they are planning for a major surgery, get opinion of another surgeon too if possible. As solitary polyp if benign, can be left out for monitoring. But if surgical options are advised by two surgeons, then proceed with the plan.
And last but not the least, it's nice to share the details regarding contact and for a warm welcoming offer. May be sometime in future, it's possible for me to visit and it would be my pleasure. My social media details are ob this id: YYYY@YYYY
Regards, and stay in touch regarding your health issues via HCM.


As I write you this letter there are tears in my eyes because I don't know what to think about these doctors here. I remember telling you I went to Dr. Bigajer's office on Tuesday which he proceed to tell me every thing was normal, the polyp was benign and all I have to do is go and get it removed and come back and see him in 5 years. I got a call from my medical doctor on Thursday saying it is important to come into his office. I didn't know what it was about but he said he got a letter from Dr. Tracer saying that you for referring Ms. XXXXXXX to me, (my doctor NEVER referred me ) then he proceed to tell my doctor that he did a colonoscopy on me found I had a flat polyp and cut pieces out and send it to the lab and it came back a high dysplasia intromusca adenocarcinoma, which there are cancer cells, (one doctor says one thing the other says something else different) then he told my doctor that he couldn't remove the polyp by colonoscopy and it has to be done by surgery, meanwhile he dated the letter XXXXXXX 2nd Dr. Ulabidin, I have NEVER heard from their office telling me to come in for any kind of test, they took a stool test it came back negative, they took some thing for my abdomen it came back benign now my medical doctor has now referred me to a doctor for surgery and sending me to an oncologist to see if I have to get chemo I really don't know what to think. If it's for money or did the doctor injured my colon and wants me to go fast and get the surgery to cover up they are both saying a large polyp has to be removed so what about the doctor telling me part of my colon has to be removed the doctor says the polyp has the cancer cells, how come he never told me any of this when I had to test done In May I remember him saying he removed a large polyp and didn't want to make a hole in my colon Tomorrow I go and see another doctor and explain everything to him, it makes me not want to trust doctors now.
surgical plans or chemo?
Detailed Answer:
Dear Ms. XXXXX! Hey why are you weaping and losing hope. I wasn't expecting this from a brave person like you. Look we had been discussing all these issue for quote sometime now, and I have found you to be a very practical person who is allways interested to know how to proceed next rather than mourning over the past.
Look there are alot which can be done and needs to be done.
Please evaluate few details as per your previous record.
There had been a polyp, on one colonoscopy and according to that doctor he removed it. The histopathology is showing few cells and they want you to remove it surgically.
Now you are taking second opinions and planning whether to have surgery or not.
That is a sensible thing to do.
Next appropriate thing would be to get your medical record rechecked by another skilled gastroentrologist and discuss all the issues in detail. Discuss and share your reports. Another possibiltiy would be to have another colonoscopy before proceeding surgery from another gastroentrologist elsewhere to get an independent opinion not influenced by your previous doctors. That would significantly explain about disease status and any surgical intervention needed, whether emergent or not?
For all of that to happen, You need to stay relax. That way you ll be able to figure out all the things which can be done at best depending upon all the best possible resources around you. Please keep me posted. I ll be waiting for all the fresh updates.


good luck for surgery
Detailed Answer:
Hi! The details put in this answer reflects the real you. The more determined, and ready to be dealing with the problem. I am glad that you have taken this decision courageously. So let's proceed with the surgery, as less doubts are left now regarding what to be done next. It will also help to get some samples from sorrounding colon for biopsy and histopathology, and will also eliminate the problem earlier.
The doctor who gave his final opinion appears to be quite helpful. He has been to the point and have not created as much confusions as you had to face earlier. The person who has had done colonoscopy would have been on a better position to make spot on decisions rather leaving things grey, which apprently happened.
I am sincerely hoping for you to recover soon after surgery and may this decision proves to be helpful for you in longer run. I hope when I listen to you next time, you are improving after a suucccefful surgery and things getting better as planned. Regards.


surgery plans
Detailed Answer:
Hi! Glad to know that everything is going well on schedule.
Well it depends upon the kind of surgery. If it is open surgery it may last for few hours and recovery period is a bit longer but likelihood is of laproscopic surgery in which three small holes in skin are made, for light, laproscopic and surgical apparatus after sufficient analgesia and anestgesia, and it may last little longer than the open one, but recovery period is very quick and in matter of days you can be back in life, with few precautions like lifting heavy weights etc. Otherwise you ll be good to go.


recent progress
Detailed Answer:
Hi! Hopefully by now you have been through CT scan and must be undergoing rest of work up before surgery. This was good decision on your behalf to take multiple opinions. I am surprised and saddened as you deserved to be counselled and told well before when all of it was happening rather using vague terms like we don't want to put hole in your colon etc.
Anyways I am anxiously waiting to hear for your well being, and hopefully you will be on recovery path sooner or later.

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