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My Wife Is 47. Her FIT Test Showed Occuly Blood

Posted on Sat, 31 Oct 2020

Question: My wife is 47. Her FIT test showed occuly blood and she thus had Colonoscopy. The report attached refers yo the findings and the removed polyps have been send for biopsy. The flat Polyp needed EMR to be completely removed and it is the one the doctor was not very sure of its nature. My question is:
- could the carried our procedure especially the EMR be enough even if the polyps are already cancerous of any degree or precancerous or a surgery will be required for a specific result?

Answered by Dr. Indranil Ghosh (16 hours later)

Brief Answer:
If precancerous then definitely no surgery required

Detailed Answer:
Hi
Thanks for your query.

If only precancerous lesion found in polyps then nothing more is required. Only periodic surveillance.

However, if XXXXXXX cancer is found, usually surgery is required. Exception is very small focus of invasion and completely removed by EMR.

Hope this helps.
Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Indranil Ghosh (3 days later)

Attached pls find the biopsy report. Pls advise diagnisis if cancer exists in the colon

Answered by Dr. Indranil Ghosh (7 hours later)

Brief Answer:
There is early malignancy in larger polyps.

Detailed Answer:
The biopsy clearly mentions invasion of the core. So it's malignant, as pointed out. Even though it's just about the start.

Hence I would suggest going for laparoscopic surgery to remove the affected part of colon.

Regards

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Above answer was peer-reviewed by : Dr. Kampana