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Old 05-20-2009, 08:40 PM   #1
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DOMENIC HB User
Question I need some advice. polyp with high grade displasia

Hello, and thank you in advice for any opinion or advice you may give me.

I am a 60 year old male in good health. At least I thought I was in good health. Last April I had a colonscopy done. This was my first. They found some polyps. The one they found in the ascending part of my colon was about 1.5cm. The pathology report said it was tubulovillous adenoma. I was scheduled for a second colonscopy in one year. The second colonscopy that was done this May found some regrowth at the point of the last polyp in my ascending colon. The pathology report “FRAGMENTS; TUBULOVILLOUS ADENOMA WITH HIGH GRADE DYSPLASIA, ENSURE COMPLETE REMOVAL. Talking this over with my doctor she said that this was not a cancer but could become a cancer if not totally remaved. She said she had tried to remove the rest of the polyp but was not sure because part of it was behind a fold. She gave me two ways to go. One was to have that section of my colon removed the second was to have another colonscopy in July after my colon has had a chance to heal from the last colonscopy and see if she had gotten all of this polyp. Thinking that this was not a cancer and that I did not like the thought of getting a resection done I told her that I would go for the third colonscopy to see if she got it all and avoid the resection.

After making that descision I have done some reading about polyps and am getting a little nervous. I am starting to second guess my decision. Maybe I should just go ahead and go with the resection to make sure it is all taken out. If I go for the third colonscopy and she takes a little more off this spot and thinks she has it all, How can I be sure? What happens next? Do I go another year and have a fourth colonscopy and find that there is some regrowth and now it has developed into a cancer?

If anyone one has any word of advice or opinions on this I would like to hear from you.

Thanks again,
Domenick

 
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Old 05-21-2009, 05:41 AM   #2
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idunno HB User
Re: I need some advice. polyp with high grade displasia

Hi Domenick,
I think I would have opted for the resection. My main reason is that they take clear margins on each side of the polyp and remove the colon and the attached flange in a field that contains the blood supply and regional lymph nodes for that piece of colon. Pathology can then do a careful and extensive assessment of the colon and the lymphs. I don't imagine that they would take much colon and it could most likely be rejoined witout need of a temp colostemy.
My cancer was into 6 lymph nodes and the chemo and worry of a six year wait for clearance is no fun, Fortunately I made it and it has been over 11 years now. My motto is never give cancer a chance. Best wishes ,Ron.

 
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