Colonoscopy Report - Paris and Kudo

[Lemonpie77]

Can anyone tell me if I should be worrying?
I’m nearly 47, 2 stone overweight, non-drinker and non-smoker. I eat a reasonable diet but not enough fibre.

Am very symptomatic and has a positive FIT test of 12.9… very low. Referred for 28 day pathway colonoscopy. They removed a 12mm sessile polyp using EMR. They also took 8 photos and another 4 biopsies from my asc and desc colon. All 5 samples have got on for testing. The Paris score for the polyp was 1s and the Kudo was III-L.
It also says WHO Grade 1 on the report.

The endoscopist did not say, “you don’t have cancer.” She said, “We removed a small polyp, no diverticulitis
and otherwise your bowel is healthy.”

Why would they do 4 other biopsies if healthy?
I’m worried.

[Green Tea]

Can anyone tell me if I should be worrying?
I’m nearly 47, 2 stone overweight, non-drinker and non-smoker. I eat a reasonable diet but not enough fibre.

Am very symptomatic and has a positive FIT test of 12.9… very low. Referred for 28 day pathway colonoscopy. They removed a 12mm sessile polyp using EMR. They also took 8 photos and another 4 biopsies from my asc and desc colon. All 5 samples have got on for testing. The Paris score for the polyp was 1s and the Kudo was III-L.
It also says WHO Grade 1 on the report.

The endoscopist did not say, “you don’t have cancer.” She said, “We removed a small polyp, no diverticulitis
and otherwise your bowel is healthy.”

Why would they do 4 other biopsies if healthy?
I’m worried.

Have you seen this article?

Colorectal polyp classification and management of complex polyps for surgeon endoscopists (2023)
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521811/

[Lemonpie77]

Hi,

Thank you for your reply. That’s a very helpful article. From what I read, this means I might have had a precancerous sessile polyp in my caecum.
I’m just concerned because they took 4 other biopsies. Why would they do that if my bowel looked otherwise normal? I’m confused and anxious.

Thanks.

[CRguy]

The endoscopist did not say, “you don’t have cancer.” She said, “We removed a small polyp, no diverticulitis
and otherwise your bowel is healthy.”

Why would they do 4 other biopsies if healthy?
I’m worried.

How would they know it is healthy WITHOUT having done those biopsies ????
Biopsies "LOOK" at a microscopic view and the submucosal levels of tissue.
"Visual" inspections do not.

" You will miss more for NOT LOOKING ... than not knowing " is my favorite saying.
I would much rather have the docs LOOKING ... than missing something for NOT looking

JMO and I have been here since 2008
So it must be working

Best wishes to you
CRguy

[Lemonpie77]

Hi CRguy,

I agree with you and I’d absolutely rather know one way or another. I do wish that they had explained a bit more but I was still quite out of it at the end of the colonoscopy.

Really thankful to benefit from your knowledge.

Thanks.

[Green Tea]

Another point to consider:

Since they found and removed a polyp this time around they will no doubt schedule a follow-up colonoscopy in just a couple of years to check if there are any new polyps or whether there has been any new re-growth where the sessile polyp was removed. This is normal procedure.

Did they tell you when you should come back for a follow-up colonoscopy?

Also. to minimize the possibility of new polyps appearing, I think it would be important to think about adjusting your life-style habits by trying to lose some weight and then by following the Three Pillars of Survivorship:

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