Skypup wrote:Just a thought: it might help your anxiety issues to now spend time consciously feeling compassion for those who do not have your fortunate circumstance. And let me say loud and clear--good for you for getting onto this before it became a big problem!
Pathfindergrl28 wrote:Hi, thanks for your reply. I got a letter from my GI doctor today. His letter said that he removed a tubulovillous adenoma in my sigmoid colon. His letter said he removed it completely, & to follow up in 3 years. I know this is one of the more dangerous colon polyps, and is rare in my age group (I'm 34). He forgot to send the path report with the letter, so I'm confused. Does the fact I have to follow up in 3 years mean it's benign?
Or is it precancerous since its tubulovillous? Are all tubulovillous adenomas precancerous?
I plan to contact his office for the path report & plan to follow up with him soon. I think I would prefer a colonoscopy in a year or two as well over 3 years. I'm definitely going to make sure my parents and sister are screened for these polyps as well.
Bev G wrote:I don't think high grade dysplasia is cancer.
Cancerous polyps are classified into non-invasive high grade neoplasia (NHGN), when the cancer has not reached the muscularis mucosa, and malignant polyps, classed as T1, when they have invaded the submucosa. NHGN is considered cured with polypectomy, while the prognosis for malignant polyps depends on various morphological and histological factors.
Thus, intramucosal carcinoma is preferably called high grade dysplasia (discussed later) by pathologists in order to avoid unnecessary surgical intervention. In the American Joint Committee on Cancer (AJCC) Cancer Staging Manual (9), mucosal invasion is classified as carcinoma in situ (Tis). Nevertheless, the term of intramucosal carcinoma may still be used by some pathologists.
The older term carcinoma-in-situ has now been replaced by the term high-grade dysplasia, which also includes severe dysplasia. The pathology diagnosis of high-grade dysplasia also has no clinical significance in terms of the initial management of the patient.
Users browsing this forum: No registered users and 5 guests