What factors should drive treatment choices within the range of options to address adenomatous colon polyps?
There appears to be a range of discretion in the medical literature about treating a proliferation of precancerous ("adenomatous") colon polyps - from periodic surveillance colonoscopy with polectomy, to surgery to remove some or all of the colon? What are the factors and considerations a patient and doctor should consider in determining an appropriate course of treatment within this range of options?
What kind of medical literature are you reading?
I have no idea what a polectomy is, but there is no reason to remove part of the colon simply because you had polyps.. (+ info
Does the mere finding of about 50 adenomatous polyps in my colon constitute a "polyposis syndrome" per se?
...or ar there other criteria that also need to be considered?
Does the causation - genetic versus sporadic - make a difference?
(I am currently awaiting "FAPKM" test results to try to learn more about the causation.
It certainly constitutes a problem and most likely some sort of a polyposis syndrome. To make an accurate diagnosis other things most definitely have to be taken into consideration. Familial polyposis usually has more than a hundred polyps. If it is less than 100, but you have a relative with FAP, it is likely FAP. It could also be attenuated FAP, if you have a relative diagnosed with colon cancer before the age of 55 who also had multiple polyps. There is also Gardner syndrome and Turcot syndrome. Patients with FAP are usually diagnosed by 30 and have polyps by 35. This diagnosis is not just putting you at a high risk for colon cancer, it is inevitable 95% have colon cancer by the time they are 50. Simply removing the polyps and changing your diet will not help this condition.
You and your doctors want to know exactly what you are dealing with. This information is important to your relatives as well. Get a second opinion and consider getting one from a teaching facility or a cancer hospital. You can find more information from the National Cancer Institute. I have included their link below. Best wishes.
http://www.cancer.gov/cancertopics/types/colon-and-rectal (+ info
How is nonpolyposis colorectal cancer discovered if there are no polyps to detect during sigmoi/colonoscopy?
I'm trying to understand what the early symptoms of this form of colorectal cancer are and how they differ from classic adenomatous CRC. If you are qualified to answer this question, I appreciate your answer and thank you in advance.
This is a rare hereditary cancer so you would be genetically tested. There are no early symptoms and you should never wait for symptoms. It is recommended that screening start 5years before the age of the youngest family member at diagnosis. (+ info
What is likely treatment for colon polyps (adenomatous) condition? ?
I've turned 50 y.o. this year, conscientiously had a physical exam (all OK) and routine referral for colonoscopy screening. I have no symptoms of illness, am pretty healthy; but what I expected to be a routine colonoscopy actually found many polyps and prompted Dr. to make a referral for labs. Dr's report said "The large number and variety of polyps is unusual." and that "genetic testing is indicated." Dr. had me back twice more, each time looked around in my colon and removed many polyps. The three colonoscopy procedures during past four months have found about 50 polyps, mostly pre-cancerous "adenomas" - tubular and tubulovillous per pathology reports; but no dysplasia nor carcinoma at present). Most polyps found have been fairly small, a couple 1.0-1.5 cm. Still some small
sessile polyps remain at present. After 3rd colonoscopy Dr. counseled that consideration should be given to genetic testing, "and ultimately colectomy may be needed." Dr. referred me for "FAPKM" genetic testing, they drew my blood and have sent it off to Mayo Clinic. This "FAPKM" testing seems pretty specialized - they are looking for a specific genetic mutation that might inhibit my colon from suppressing polyps. I have no known family history of colon polyps, no family history of colorectal cancer. Everything I've read seems
to indicate that a colon with 50 pre-cancerous polyps is serious,
whether the cause is genetic or "sporadic," and leaves me with the impression the colectomy option may (eventually?) be more likely needed than not. While I await test results I wonder, can anyone here explain likely range of outcomes for someone with my current condition?
There are several familial polyposis syndromes:
Familial adenomatous polyposis (FAP), due to APC gene mutation- cancer occurs on average by 4th decade.
Attenuated FAP: similar but delayed age onset and fewer polyps
Turcots and Gardner's syndromes: FAP plus various extraintestinal manifestations.
Peutz-Jegher's, Juvenile polyposis syndromes, and others less common
Cancer rates can approach 100% in FAP in some series, frequently by age 45. You may have an attenuated version. Basically, if there are too many polyps to perform surveillance colonoscopy successfully, then colectomy is usually recommended.
Blessings (+ info
How long would a 5mm adenomatous colon polyp take to turn into malignant cancer?
I had one removed, and now I need to go back for yearly screenings. I'm just wondering had I not gone, how many more years it would have taken to turn into colon cancer.
We think the time frame from earliest genetic changes to frank cancer is something like 7-10 yrs in colorectal cancer. (+ info
Has anyone heard of FAP (Familial Adenomatous Polyposis) and has the disease..?
I have it, found out about 7 years ago, and had an ileo-rectal anastomosis, and need to go back in for another op or two and just wondering if there is anyone else who has this, or knows anyone, as the only people that I know that have this are my family. My hubby and I are planning another baby, but I has to much trouble with the first one (painwise) and wondering if hormones can speed up the growth of polyps? (hope this isn't to confusing... it's confusing me lol) Thanks = )
I know of FAP, it is a painful disorder because of risks but birth control, pregnancy hormones etc should not interfere with FAP, feel free to ask your doctor or your OB, good luck (+ info
What do polyps in your stomach and colon mean?
I have 3 polyps in my stomach and one in my colon that is enveloped by something unidentifiable per my doctor. All have been biopsied and sent off but I have to wait more than 2 months to see my doctor again. I'm worried about this long wait and it being cancer.
They are little growths, like pouches, but they are not diverticulitis. They are fairly common, and can not be avoided, except by a vigorous fiber intake. They can be snipped out using a scope with camera, and scissors. (+ info
How to prevent growth of nasal polyps after operation?
I recently had an operation of nasal polyps which the doctors removed. People say that the polyps can regrow in months. Is this so? If so, what should I do?
Polyps can regrow quickly. See the links below for more information.
http://www.drmirkin.com/morehealth/8988.html (+ info
How long would it take for Nasal Polyps to grow back after surgery?
I had surgery last november to remove Lots of nasal polyps (like seriously loads, every sinus was blocked) and its been about 4 months now and my nose now feels just as bad as before and i can't breathe again? How long does it take for them to grow back?
it may take around 6 months and sometimes more.. its better you check the articles i found in allergy liberation UK for your doubts regarding sinus and lots, its really worth to read from this site, you can check that here
http://www.allergyliberation.co.uk/index.php?main_page=index&cPath=39 (+ info
Are fibroids, endometrial hyperplasia or polyps a precursor to cancer?
I'm 44 and had heavy menstrual bleeding. Ultrasounds and MRI showed three small fibroids, focal complex hyperplasia and polyps. I've been trying natural remedies which have improved menses dramatically, no longer heavy, nor as painful. Should I still have hysteroscopy or other procedure done, or does the resolution of symptoms mean I'm OK?
Not a precursor to cancer. Chances are the pain and bleeding will return. Interuterine scraping is another option, but I hear it is painful and not always effective. Hysterectomy may be another option for you if you just want to be done all together. (+ info
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