I have a family history of polyps. Should I be concerned?

Hello doctor,

A polypoid mucosa with budded, branched, and crowded hyperchromatic cells that replace normal goblet cells, with increased cell turnover noted. What does this mean?

Please help. Thank you.

Hi doctor,

Thank you for your reply,

I have a family history of colon cancer and colon polyps. I have bouts of diarrhea and hematochezia. Colonoscopy was performed, and hot forceps were used to completely excise a sessile polyp 6 mm by 5 mm in the mid-transverse colon. The final pathologic diagnosis was tubular adenoma.

But, I am confused with that diagnosis due to the microscopic description that states polypoid colonic mucosa with irregularly budded and branched glands containing crowded hyperchromatic cells that replace normal goblet cells. Increased cell turnover was noted. It also says no high-grade dysplasia is seen. But everything I read points to dysplasia. I am perplexed, and the doctor has not reached out to me for any follow-up plan.

Should I be concerned or follow up in ten years? I am 51 years old, and at the age of 37, I had polyps removed, showing distant sawtooth-like glandular transformation at the surface of polyps with appearing tubular glands at the base, one of which was in the rectum. I am probably worrying for nothing and will follow up in ten years. I just wanted a second set of eyes to review the diagnosis.

Thank you.