Hello,
I have read your stories and they are inspiring. I am coming for clarity I guess. I found on this past Thursday that the "routine" colonoscopy that I had last Monday was not so routine. The doctor told my husband that he removed a 14mm polp in the sigmoid colon and it did not appear to be cancer. However, the doctor called me after the pathologist called him and it is cancer. I am scheduled for a flex sig to "tattoo" the area for the surgeon. I have a referral in to see a surgeon and waiting on that call. I guess I am confused because I had a polyp but the report says tumor? Also, no other tests have been discussed or scheduled. Will the surgeon do that? I am copying some of my pathology so you can have more information. I am not asking for a diagnosis but any thoughts would greatly be appreciated. I am just overwhelmed by this. Also, can you tell me who actually stages the cancer because I was not given that information either.
Thank you so much!!
Diagnosis
Colon, sigmoid, polypectomy -
minimally invasive moderately differentiated adenocarcinoma;
arising within tubular villous adenoma with high-grade dysplasia;
negative for lymphovascular invasion;
polypectomy margin is positive for adenocarcinoma. (C18.7)
Tumor Site: Sigmoid colon
Specimen Integrity: Fragmented
Polyp Size: Greatest dimension: 1.5 cm
Polyp Configuration: Pedunculated with stalk
Size of Invasive Carcinoma: Greatest dimension: 0.7 cm
HISTOLOGIC TYPE: Adenocarcinoma
HISTOLOGIC GRADE: G2: Moderately differentiated
TUMOR EXTENSION: Tumor invades submucosa
MARGINS:
Deep Margin (stalk margin): Involved by invasive carcinoma
Mucosal Margin: Cannot be assessed
LYUMPHOVASCULAR INVASION: Not identified
TYPE OF POLYP IN WHICH INVASIVE CARCINOMA AROSE: Tubulovillous
adenoma
Microscopic Examination
The specimen contains a neoplasm composed of architecturally complex
glands lined by cytologically atypical cells. The epithelial cells
have enlarged nuclei, granular chromatin, and prominent nucleoli.
The atypical glands are surrounded by a desmoplastic stroma,
diagnostic of an invasive adenocarcinoma.