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Colonoscopy A Few. Weeks Ago.. I Will Try And Reach

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Posted on Thu, 9 Feb 2023
Question: colonoscopy a few. Weeks ago.. I will try and reach Gi dr on monday/ Tuesday. They found a large sessile cecum polyp and I see a surgeon later in week. Doctor said they injected polyp with XXXXXXX ink. 1- is XXXXXXX ink. Black? -2- the report. Labeled. Figure 3 as the cecum. Polyp.. I do not see any black in this image?-3-in figure 6 which is supposed to be the. Ascending colon there is some black area area on right. Is this likely to be XXXXXXX ink! -4 - in figure 4, any guess as to what the red in bottom and white in bottom might be. My objective is to try and self educate to be better prepared to discuss with doctors. .i wlladx a screen shog of one page of report.
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Follow up: Dr. Dr.P.Ratnakar Kini (21 hours later)
I put an arrow on the color picture I sent before and I am posting the picture with the arrow so I can ask if the white bump on right of colon image is the polyp. Asking again, I think I drew a black arrow pointing to the polyp. Am. I correct?…
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Follow up: Dr. Dr.P.Ratnakar Kini (3 minutes later)
A re late question about surgery??? IF the cecum. Polyp is totally within the cecum, can the surgeon just remove cecum and seal the opening at the. Beginning of large colon
doctor
Answered by Dr. Dr.P.Ratnakar Kini (24 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
Thanks for posting your query.
I am Dr.R.K and I am pleased to assist you.

1. Yes, XXXXXXX ink is black.
2. Figure 3 shows cecum before injecting XXXXXXX ink. Figure 6 is showing the same part after injecting XXXXXXX ink. You can see the black part.
3. Figure 6 is showing cecum and proximal ascending colon. Yes that is XXXXXXX ink
4. The image is not clear to comment on the polyp. What I can see there is ileo cecal valve. A video would be better to give opinion.

If the polyp is showing features of malignancy or precursor of malignancy, then the right half of the colon may be removed and the remaining joined.
Alternatively the whole polyp can be removed by colonoscopy by special procedures like submucosal dissection.

Regards,
Dr.R.K

Above answer was peer-reviewed by : Dr. Saisudha Kotla
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (42 minutes later)
Any way to guess about how fast these turn can turn cancerous or how fast they can grow? At. 78 , I wonder about mortality and quality of life aftee what sounds like a major procedure?
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Follow up: Dr. Dr.P.Ratnakar Kini (50 minutes later)
Sorry to bother you. My Gi dr says see a surgeon.. No discussion about submucosal dissection. Any idea how to. Determine if this procedure is possible.. can the about 2 inches long section of colon (where the sessile polyp is situated ), be cut out with removing the ascending colon!
doctor
Answered by Dr. Dr.P.Ratnakar Kini (25 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
First we have to confirm whether the polyp is premalignant, malignant or benign.
It takes at least 5 years for a polyp to turn malignant.

You can discuss with your doctor/surgeon about the options like piecemeal polypectomy and submucosal dissection. Surgeon will determine the type of procedure needed and what all needs to be removed. It mostly depends on diagnosis, whether its benign, premalignant or malignant.

Regards,
Dr.R.K.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr.P.Ratnakar Kini (20 hours later)
Gi doctor took some samples a small amount of high grade dysplasia the pathology report said but there could be cancer not detected. Any advise for me.
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Follow up: Dr. Dr.P.Ratnakar Kini (16 hours later)
Can a PET. Scan. Dtevt cuurent cancer crlls in colon polyp
doctor
Answered by Dr. Dr.P.Ratnakar Kini (26 hours later)
Brief Answer:
Answer given below

Detailed Answer:
Hi,
As suggested earlier, you can go for piecemeal polypectomy/ submucosal dissection.
Or surgery.
Yes PET will detect it.

Regards,
Dr.R.Kl.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr.P.Ratnakar Kini

Gastroenterologist

Practicing since :1994

Answered : 2215 Questions

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Colonoscopy A Few. Weeks Ago.. I Will Try And Reach

I put an arrow on the color picture I sent before and I am posting the picture with the arrow so I can ask if the white bump on right of colon image is the polyp. Asking again, I think I drew a black arrow pointing to the polyp. Am. I correct?…