HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Are Pennunculqated Or Sissle Polyps Usually Cancerous?

default
Posted on Mon, 7 Jul 2014
Question: Sessile polyp. Age 25. Does it look cancerous
doctor
Answered by Dr. Matija Romic (1 hour later)
Brief Answer:
Need biopsy to get the answer

Detailed Answer:
hello and thank you for asking HCM,

I understand your concern. Thank you for sending this photo but it is impossible to say if a polyp looks cancerous or not by a photo of a polyp. The only way to find out if it consists cancerous cells is pathohistology examination, or biopsy results.
I hope they did biopsy and that you will find out the results.

I hope this answer was helpful to you.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Matija Romic (22 minutes later)
It looks like it is milticolored. Is this a bad sign
doctor
Answered by Dr. Matija Romic (1 hour later)
Brief Answer:
Biopsy needed

Detailed Answer:
as I said, the macroscopy is not important, just the pathohistology as I said before.
I am sorry that I cannot help you but it is not possible without biopsy.

I hope you will make biopsy and find out if you have cancerous cells or not.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Matija Romic (21 minutes later)
Are pennunculqated or sissle polyps most likely cancerous
doctor
Answered by Dr. Matija Romic (32 hours later)
Brief Answer:
Sessile

Detailed Answer:
the chance of both is small, but sessile are in front of peduncular at higher risk.
You should discuss wirh your doctor when to repeat colonoscopy.

I hope this answer ws helpful to you.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Matija Romic (2 days later)
Path showed tubular adenoma and lymphoid aggregates
doctor
Answered by Dr. Matija Romic (4 hours later)
Brief Answer:
Contact gastroenterologist

Detailed Answer:
hello and thank you for this new query.

you should talk to your oncologist and gastroenterologist because this diagnose needs surgical treatment. I hope you will contact these doctors as soon as you can.

I hope I helped you with this query.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Matija Romic (3 hours later)
What? Why?
doctor
Answered by Dr. Matija Romic (20 minutes later)
Brief Answer:
Discuss with gastroenterologist how often recheck

Detailed Answer:
I am sorry. I just see all of your queries and since you renoved this polyp during colonoscopy you will just have to discuss wuth your gastroenterologist how often to recheck your colon. These are the most common type of polyp and are the ones referred to most often when a doctor speaks of colon or rectal polyps; about 70% of polyps removed are of this type. Adenomas carry a definite cancer risk that rises as the polyp grows larger. Adenomatous polyps usually cause no symptoms, but, if detected early, they can be removed during a colonoscopy before any cancer cells form. The good news is that polyps grow slowly and may take years to turn into cancer. Patients with a history of adenomatous polyps must be periodically reexamined.

This was the basis on which I recommend you to visit a gastroenterologist.

Hope I am clear.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Matija Romic (9 hours later)
WhAt about the lymphoid aggregates
doctor
Answered by Dr. Matija Romic (3 hours later)
Brief Answer:
often incidental finding

Detailed Answer:
Dear XXXX

lymphoid aggregates are often only incidental findings. I remind you as I have already said, to talk to the gastroenterologist who performed colonoscopy when follow up colonoscopy is needed.



Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Matija Romic (1 hour later)
When do you recommend
doctor
Answered by Dr. Matija Romic (53 minutes later)
Brief Answer:
guideliness for future colonoscopy

Detailed Answer:
Since you wrote that the pathology showed tubular adenoma, recommendations are to do future colonoscopy after five years for people with 1 or 2 small (less than 1 cm) tubular adenomas with low-grade dysplasia.
People with 3 to 10 adenomas, or a large (1 cm +) adenoma, or any adenomas with high-grade dysplasia or villous features should perform future colonoscopy 3 years after polyps are removed.
People with more than 10 adenomas on a single exam within 3 years after removal.
Only people with sessile adenomas that are removed in pieces should have future colonoscopy ater 6 months of removal.
Guideliness are mostly based on pathology, but sometimes it is important to include possible risk factors as positive family history, age (over 50), lifestyle, obesity...
This is the reason why I recommend to talk to your gastroenterologist to see if colonoscopy is perhaps needed earlier in case that some of these risk factors is positive.
I hope this aswer was helpful.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
default
Follow up: Dr. Matija Romic (31 minutes later)
The polyp was sent to pathology in 2 pieces
doctor
Answered by Dr. Matija Romic (43 minutes later)
Brief Answer:
Colonoscopy after 6 months

Detailed Answer:
regarding to everythink you have written, that this is a sessile polyp which showed to be tubular adenoma after been sent to pathology in two pieces, you should do future colonoscopy after 6 months.
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Matija Romic

General & Family Physician

Practicing since :2012

Answered : 300 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Are Pennunculqated Or Sissle Polyps Usually Cancerous?

Brief Answer: Need biopsy to get the answer Detailed Answer: hello and thank you for asking HCM, I understand your concern. Thank you for sending this photo but it is impossible to say if a polyp looks cancerous or not by a photo of a polyp. The only way to find out if it consists cancerous cells is pathohistology examination, or biopsy results. I hope they did biopsy and that you will find out the results. I hope this answer was helpful to you.