Do they keep missing polyps?

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cmrl
Posts: 174
Joined: Mon Apr 21, 2014 8:39 pm

Do they keep missing polyps?

Postby cmrl » Tue Jul 11, 2017 9:20 pm

When they found my initial cancer, my feeling was that they must have missed a polyp on my last colonoscopy since I had been having them regularly, and the tumor was pretty large.
I just recently had my 3rd colonoscopy since finishing chemo in 2014, and a 3 cm polyp was found near the ileocecal valve, which couldn't be removed, due to size and location. The biopsy results just came back and the polyp is benign. I am going for another colonoscopy to have a specialist try to remove it, but if he can't I will need surgery.
I'm not sure what is going on. I never felt right since the colectomy, and continued to be severely constipated as I had with the tumor. The Doctors gave me the same advice....take Miralax, etc. I now feel that I've had this polyp all along. Is this possible, or do I just grow them fast? Are there any tests that can be run to determine the cause? I'm very happy it's not malignant, but I really don't want to lose more colon. I can't even think about going through another prep, but have no choice.
Resection of splenic flexure 7/24/13
T3N2BM0, Stage 3c,12/29 nodes
Folfox x12 9/13-3/14
CT scan 4/14, enlarged spleen, otherwise clear
CT 4/15, spleen WNL.
6/17 3 cm benign polyp at ileocecal valve, awaiting removal

User avatar
LPL
Posts: 651
Joined: Fri Apr 22, 2016 12:49 am
Location: Europe

Re: Do they keep missing polyps?

Postby LPL » Sun Jul 16, 2017 5:49 am

Hi cmrl,

It looks like there is reseach in this area.

"Fluorescence colonoscopy in patients receiving intravenous GE-137 enabled visualization of all neoplastic polyps that were visible with white light (38), as well as an additional nine polyps that were not visible with white light. This first-in-human pilot study shows that molecular imaging using an intravenous fluorescent agent specific for c-Met is feasible and safe, and that it may enable the detection of polyps missed by other techniques."

http://www.nature.com/nm/journal/v21/n8 ... .3641.html
DH @ 65 DX 4/11/16 CC recto-sigmoid junction
Adenocarcenoma 35x15x9mm G3(biopsi) G1(surgical)
Mets 3 Liver resectable
T4aN1bM1a IVa 2/9 LN
MSS, KRAS-mut G13D
CEA & CA19-9: 5/18 2.5 78 8/17 1.4 48 2/14/17 1.8 29
4 Folfox 6/15-7/30 (b4 liver surgery) 8 after
CT: 8/8 no change 3/27/17 NED->Jan-19 mets to lung NED again Oct-19 :)
:!: Steroid induced hyperglycemia dx after 3chemo
Surgeries 2016: 3/18 Emergency colostomy
5/23 Primary+gallbl+stoma reversal+port 9/1 Liver mets
RFA 2019: Feb & Oct lung mets

cmrl
Posts: 174
Joined: Mon Apr 21, 2014 8:39 pm

Re: Do they keep missing polyps?

Postby cmrl » Sun Jul 16, 2017 7:05 pm

Thank you LPL. This sounds hopeful.
Resection of splenic flexure 7/24/13
T3N2BM0, Stage 3c,12/29 nodes
Folfox x12 9/13-3/14
CT scan 4/14, enlarged spleen, otherwise clear
CT 4/15, spleen WNL.
6/17 3 cm benign polyp at ileocecal valve, awaiting removal


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