Q. Should I undergo surgery for remission of lymphoma?

Answered by
Dr. Anshul Varshney
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Jul 16, 2019

Hello doctor,

I am a 77-year-old woman. I had lymphoma last year, but was declared in remission this month. I have gained all my weight back and am feeling fine. My Oncologist sends me for PET scans every few months to make sure no cancer has returned. During last PET scan, they saw a shadow and recommended a colonoscopy. During this, they found a noncancerous fatty lipoma and three polyps.

The biopsy showed one near rectum was 10 mm polyp that was precancerous. Described as high grade glandular dysplasia arising from tubulovillous adenoma. Do you feel surgery is needed, or more frequent colonoscopy screening? What do you recommend our next step is? Thank you very much.

 

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Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology
#

Hi,

Welcome to icliniq.com.

As such immediate surgery is not indicated. Yearly colonoscopy and biopsy should be done. If stage of lesions seems to be changing then it should be removed. A few doctors treat this aggressively and remove it surgically at this stage only. This decision is based on your doctors personal experience and opinion. What is your doctor suggesting?


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Thank you doctor,

Their instructions were not clear to us. They said I could have another colonoscopy in six months to a year, or have surgery now. So we wanted to get a second opinion.

Dr. Anshul Varshney

Critical Care Physician Diabetology General Medicine Internal Medicine Medical Gastroenterology Nephrology Pulmonology (Asthma Doctors) Rheumatology
#

Hi,

Welcome back to icliniq.com.

Actually, the opinion given by them is almost the same as given by me. The reason behind this is that the answer is not definitive. What I do in such cases is keep a close follow up and get repeat colonoscopy done after one year. If I find change in the lesions, then I immediately take my patient for surgery.


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