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What Does Deep Surgical Margins Of The Excised Tissue During Colonoscopy Indicate?

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Posted on Mon, 28 Sep 2015
Question: I was just diagnosed with colon cancer. What does deep margin: involved by adenocarcinoma mean I can't find it anywhere I am so scared. The polyp was low grade well differentiated
doctor
Answered by Dr. Grzegorz Stanko (1 hour later)
Brief Answer:
This is the early stage colon cancer.

Detailed Answer:
Hello!

Thank you for the query.

This simply means that the polyp which has been removed during the colonoscopy contained cancer cells. The area where the polyp is cut of the intestine is a deep margin. At your case, the cancer has not been removed completely as the cancer cells are present in this margin area. So in simple words, the place in the large intestine where the polyp was, still contains some cancer cells.

We do not know how deep the cancer has penetrated the intestine, but as the removed polyp did not look like a cancer (I assume that, otherwise it would not be removed), it allows to think that this is a very early stage of colon cancer. So this is a very good information. The next step is surgery. The part of large intestine with lymph nodes will be removed and tested by a pathologist.

As a conclusion, you seem to be lucky as the colon cancer has been diagnosed in a very early stage. This gives you great chance to be cured completely.

Hope this will help. Feel free to ask further questions.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Grzegorz Stanko (2 minutes later)
Thank you so much for the answer!!
doctor
Answered by Dr. Grzegorz Stanko (1 minute later)
Brief Answer:
You are welcome.

Detailed Answer:
You are welcome. I hope you will get well soon.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5795 Questions

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What Does Deep Surgical Margins Of The Excised Tissue During Colonoscopy Indicate?

Brief Answer: This is the early stage colon cancer. Detailed Answer: Hello! Thank you for the query. This simply means that the polyp which has been removed during the colonoscopy contained cancer cells. The area where the polyp is cut of the intestine is a deep margin. At your case, the cancer has not been removed completely as the cancer cells are present in this margin area. So in simple words, the place in the large intestine where the polyp was, still contains some cancer cells. We do not know how deep the cancer has penetrated the intestine, but as the removed polyp did not look like a cancer (I assume that, otherwise it would not be removed), it allows to think that this is a very early stage of colon cancer. So this is a very good information. The next step is surgery. The part of large intestine with lymph nodes will be removed and tested by a pathologist. As a conclusion, you seem to be lucky as the colon cancer has been diagnosed in a very early stage. This gives you great chance to be cured completely. Hope this will help. Feel free to ask further questions. Regards.