HomeAnswersInternal Medicinecolon polypWhat is your opinion regarding my wife's colon polyp?

Please give your opinion regarding my wife's colon polyp.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At September 16, 2016
Reviewed AtJuly 26, 2023

Patient's Query

Hi doctor,

My wife has been detected to have a 1.5 cm sessile polyp in descending colon in colonoscopy. One doctor said that there is nothing to be worried as it is harmless and the other says just opposite. Please give your opinion.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome to icliniq.com. Before providing an answer, it would be helpful to gather more information. Are there any other polyps detected, or is this the only one found during the colonoscopy? Does she have a family history of colon cancer? Was there any indication of bleeding, or was it a routine screening colonoscopy? Additionally, is this her first colonoscopy, or were there previous findings from earlier examinations? Having these details will enable a more comprehensive understanding of the situation and facilitate a more accurate response.

Patient's Query

Thank you doctor,

Here are the answers. Yes, this is the only polyp detected and no other polyp is found. There is no colon cancer case in her family history. Actually, she was detected with gallstone and operated a month ago. So, a screening endoscopy and colonoscopy were done. She does not have any bleeding problem. Yes, this was her first colonoscopy.

Answered by Dr. Sadaf Mustafa

Hello,

Welcome back to icliniq.com. Serrated polyps larger than 1 cm have a tendency to progress into precancerous lesions, warranting close monitoring. The recommended interval for repeat colonoscopy depends on the pathology results of the polyp. For patients with serrated adenomas or polyps smaller than 1 cm and no dysplasia observed in pathology or biopsy, a repeat colonoscopy is advised at a five-year interval until they reach 75 years of age. However, for patients with serrated adenomas or polyps equal to or larger than 1 cm and those with dysplasia detected, a repeat colonoscopy is recommended every three years until they turn 75. It is crucial to understand that dysplasia indicates a potential to transform into cancerous cells and not actual cancer. Kindly provide her pathology or biopsy reports if available for further evaluation and appropriate management.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sadaf Mustafa
Dr. Sadaf Mustafa

Internal Medicine

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