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Cancer: Colon Message Board
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Old 02-24-2011, 01:17 PM   #1
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Unhappy Polyp in Cecum

I have a flat Polyp which at present is not malignant in the Cecum close to the Ileocecal valve. I am being told that the only thing that can save me is major Surgery removing the end of the intestine and the ascending colon and join the 2 together. There is a 10% chance that the new junction will leak. In this case other surgery making an opening a whole in the abdomen and carrying a bag for the feces. Has anybody ever gone through this nightmare ?

1joseph31

 
Old 02-26-2011, 03:58 PM   #2
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LESLIETOO HB UserLESLIETOO HB User
Re: Polyp in Cecum

Joseph
I had colon cancer located in the cecum near the ileocecal valve. This was removed in a right hemicolectomy taking 5 cm of the small intestine and the valve as well as the ascending colon. It is almost 8 years later now. and I have not had any problems after this operation, and normal bowel function returned after the operation.

I was not told of any possibility of leakage and to ensure against that, make sure you are using a board certified colo-rectal surgeon rather than a general surgeon. The colorectal surgeon will have done this procedure many times prior to your operation and especially if you are also in a teaching or cancer hospital, your odds of a leakage are almost nil. Legally, I think they have to mention every possible complication, no matter how rare and unlikely it is. Should there be any leakage, it would not necessarily result in a colostomy. The surgeon would have to reopen the area fix the leak and remove any damaged section of colon.

Your MD cannot be sure there is no cancer in the polyp until it is removed and studied microscopically. Cancer in the center of the polyp would not be apparent from viewing the surface.

Is there a family history of colon cancer? If you are younger than 60, a flat polyp in the right ascending colon/cecum indicates that you may have a genetic syndrome called Lynch Syndrome and a consultation with a geneticist may be called for. I have Lynch Syndrome and colon cancers can develop much more rapidly than a random colon cancer, thus people with Lynch require colonoscopies every 1 - 2 years to discover any problems at its earliest stage.

LeslieToo

 
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Old 02-26-2011, 05:43 PM   #3
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Re: Polyp in Cecum

I am not totally sure if you are talking about an colostomy or an Ileostomy. I have had both. I found the Ileostomy was more challenging than the colostomy. I needed to watch my diet more with an ileostomy, I had a harder time keeping hydrated and I lost weight. But don't let that scare you because ultimately it was very managable. My situation was very different than yours. I had no option. Hopefully you will not need an ostomy, but if you did, although not fun, it is not so bad either. Also I agree with Leslie completely. You need a colon/rectal surgeon. My first surgery was not done by one, all the rest were and I feel I made a good choice changing to the specialist.

 
Old 02-27-2011, 05:09 AM   #4
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Re: Polyp in Cecum

Quote:
Originally Posted by LESLIETOO View Post
Joseph
I had colon cancer located in the cecum near the ileocecal valve. This was removed in a right hemicolectomy taking 5 cm of the small intestine and the valve as well as the ascending colon. It is almost 8 years later now. and I have not had any problems after this operation, and normal bowel function returned after the operation.

I was not told of any possibility of leakage and to ensure against that, make sure you are using a board certified colo-rectal surgeon rather than a general surgeon. The colorectal surgeon will have done this procedure many times prior to your operation and especially if you are also in a teaching or cancer hospital, your odds of a leakage are almost nil. Legally, I think they have to mention every possible complication, no matter how rare and unlikely it is. Should there be any leakage, it would not necessarily result in a colostomy. The surgeon would have to reopen the area fix the leak and remove any damaged section of colon.

Your MD cannot be sure there is no cancer in the polyp until it is removed and studied microscopically. Cancer in the center of the polyp would not be apparent from viewing the surface.

Is there a family history of colon cancer? If you are younger than 60, a flat polyp in the right ascending colon/cecum indicates that you may have a genetic syndrome called Lynch Syndrome and a consultation with a geneticist may be called for. I have Lynch Syndrome and colon cancers can develop much more rapidly than a random colon cancer, thus people with Lynch require colonoscopies every 1 - 2 years to discover any problems at its earliest stage.

LeslieToo

 
Old 02-27-2011, 05:20 AM   #5
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Re: Polyp in Cecum

Dear LeslieToo,
You make me feel considerably better, and I am very gratefull. My Case may be a little tougher, because I am 80 years old with 1 Kidney from a Kidney Cancer, although I have been free of Cancer over 3 years. Otherwise I am in reasonably good shape.
I will follow your advice. I have a teaching, board certified colorectal Surgeon with lots of experience.
Again Thank you
1joseph31

 
Old 11-13-2011, 04:44 PM   #6
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villandra HB User
Re: Polyp in Cecum

I have encountered mention of this. I too have cecal polyps, don't yet know if they're malignant. Doctor isn't sure he'll bea ble to get to them with colonoscopy.

I have a question. I'm astounded noone has asked it. Why are people being told radical measures are necessary to remove polyps that aren't malignant?

I'm very puzzled. I wouldn't get a colostomy to get rid of a polyp that wasn't causing trouble. If there's a worry about it becoming malginant they could always keep an eye on it.

Dora

 
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