Dr. Anshul Varshney
Internal Medicine
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Patient's Query
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.
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?
Patient's Query
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.
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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Internal Medicine
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