Question about single polyp with symptoms

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Asb7835
Posts: 3
Joined: Wed Nov 03, 2021 7:48 am

Question about single polyp with symptoms

Postby Asb7835 » Wed Nov 03, 2021 8:22 am

So I have been having bleeding and other severe symptoms for 5 months. The doctor was thinking it was colitis due to my age (37), but instead they found a 14mm bleeding sigmoid polyp that he thinks is only precancerous. The rest of the colonoscopy looked normal. I am now waiting on the pathology. I know there’s no way of knowing 100% until the report comes back and that I just need to be patient.. but I’m sure you know how the long wait can be! The doctor seemed pretty busy and didn’t exactly seem open to questions after the procedure.

My CBC blood results were definitely off. They think that most of the abnormal values on my CBC are insignificant because they aren’t super extreme. That part is frustrating because they’ve definitely changed a lot this time around with previous years of comparisons, but the doctor doesn’t think that’s important/relevant. I just have a strong feeling that something is wrong, but I don’t know if it’s related to this or something else is going on. I’m going back to my PCP once I get the pathology.

My questions are:

1. Do you know anyone that had significant symptoms from a single polyp but pathology came back clean? I haven’t really heard of a situation like this, so I’m pretty confused and curious.

2. If you have tested positive for cancer and showed an abnormal CBC, what were the main areas/values that were high/low before diagnosis?

Thank you so much for helping me!!

User avatar
beach sunrise
Posts: 1041
Joined: Thu Mar 05, 2020 7:14 pm

Re: Question about single polyp with symptoms

Postby beach sunrise » Wed Nov 03, 2021 12:37 pm

Post your CBC values and CEA, ca19-9 ect blood testing.
8/19 RC CEA 82.6 T3N0M0
5FU/rad 6 wk
IVC 75g 1 1/2 wks before surgery. Continue 2x a week
Surg 1/20 -margins T4bN1a IIIC G2 MSI- 1/20 LN+ LVI+ PNI-
pre cea 24 post 5.9
FOLFOX
7 rds 6-10 CEA 11.4 No more
CEA
7/20 11.1 8.8
8/20 7.8
9/20 8.8, 9, 8.6
10/20 8.1
11/20 8s
12/20 8s-9s
ADAPT++++ chrono
CEA
10/23/22 26.x
12/23/22 22.x
2023
1/5 17.1
1/20 15.9
3/30 14.9
6/12 13.3
8/1 2.1
Nodule RML SUV 1.3 5mm
Rolles 3 of 4 lung nodules cancer
KRAS
Chem-sens test failed Not enough ca cells to test

Rock_Robster
Posts: 1028
Joined: Thu Oct 25, 2018 5:27 am
Location: Brisbane, Australia

Re: Question about single polyp with symptoms

Postby Rock_Robster » Wed Nov 03, 2021 9:29 pm

In addition to the results, what does “other severe symptoms” involve?
41M Australia
2018 Dx RC
G2 EMVI LVI, 4 liver mets
pT3N1aM1a Stage IVa MSS NRAS G13R
CEA 14>2>32>16>19>30>140>70
11/18 FOLFOX
3/19 Liver resection
5/19 Pelvic IMRT
7/19 ULAR
8/19 Liver met
8/19 FOLFOX, FOLFOXIRI, FOLFIRI
12/19 Liver resection
NED 2 years
11/21 Liver met, PALN, lung nodules
3/22 PVE, lymphadenectomy, liver SBRT
10/22 PALN SBRT
11/22 Liver mets, peri nodule. Xeloda+Bev
4/23 XELIRI+Bev
9/23 ATRIUM trial
12/23 Modified FOLFIRI+Bev
3/24 VAXINIA (CF33 + hNIS) trial

Asb7835
Posts: 3
Joined: Wed Nov 03, 2021 7:48 am

Re: Question about single polyp with symptoms

Postby Asb7835 » Thu Nov 04, 2021 5:57 am

Symptoms- bleeding /sometimes with clots, back/abdomen cramping/tail bone pain, diarrhea 8-12x daily, mucous, feeling of unable to empty, fatigue, 20lb weight loss in 3 months, nausea, night sweats, waking up to have BM, bloating, bruising.

Blood work (only ran CBC/stool)- I do take iron.
WBC high- 13.4 (high range to 10.8)
RBC high -5.29 (high range to 5.28)
Low MCH- 25.9 (low range 26.6)
Low MCHC 30.5- (low range 31.5)
High RDW 15.7 - ( high range 15.4)
High absolute neutrophils 8.1 - ( high range 7.0)
High absolute EOS 0.7 - (high range 0.4)
Stool- wbc present

My mom just told me last night she has a history of precancerous polyps starting in her 40’s and it’s not a big deal. Idk, I know I’m getting ahead of myself and just need to wait it out.

Asb7835
Posts: 3
Joined: Wed Nov 03, 2021 7:48 am

Re: Question about single polyp with symptoms

Postby Asb7835 » Thu Nov 04, 2021 7:23 am

Hopefully my first response went though..

I forgot to add that the GI NP I first saw said that I have internal/external Hemorrhoids, possible rectal ulcer. She said if my WBC is not related to GI autoimmune, I probably have an unrelated infection and to see a reg dr once I got colonoscopy results. She gave me dicyclomine and I also cut way down on fiber at the same time ( I read it might help w colitis). Symptoms for diarrhea improved some (it’s been 2 months since NP appt), but even w/the meds it hasn’t been life changing.

I also knew I would be out of it after the procedure because of anesthesia. Colonoscopy doctor wouldn’t call my husband about it (husband is way better w/doctors than me), dr said it would all be on the paper I take home. He tell me abt the 14mm precancerous polyp and that it was probably causing the bleeding. The paper said the same thing and also said that I have a fissure, didn’t mention ulcer/Hemorrhoids that NP said.

I have a follow up w the NP in 6 weeks but colonoscopy pathology will be uploaded to portal and they will only call before appt if there’s a problem.

boxhill
Posts: 789
Joined: Fri Apr 06, 2018 11:40 am

Re: Question about single polyp with symptoms

Postby boxhill » Thu Nov 04, 2021 8:53 pm

Not a doctor, but it seems unlikely that all of those symptoms could be caused by a single polyp!

I think the NP's advice to see a primary care doctor or the like after sorting out the polyp seems sound.

Good luck with this. It sounds as if you've been having an unpleasant time.
F, 64 at DX CRC Stage IV
3/17/18 blockage, r hemi
11 of 25 LN,5 mesentery nodes
5mm liver met
pT3 pN2b pM1
BRAF wild, KRAS G12D
dMMR, MSI-H
5/18 FOLFOX
7/18 and 11/18 CT NED
12/18 MRI 5mm liver mass, 2 LNs in porta hepatis
12/31/18 Keytruda
6/19 Multiphasic CT LNs normal, Liver stable
6/28/19 Pause Key, predisone for joint pain
7/31/19 Restart Key
9/19 CT stable
Pain: all fails but Celebrex
12/23/19 CT stable
5/20 MRI stable/NED
6/20 Stop Key
All MRIs NED


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