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| Steve... |
 Posted: Mon Jul 06, 2009 6:32 pm |
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Guest
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Clinical reports below. My doctor recommends a laparascopic right
hemi-colectomy to remove the polyp completely, along with 12-18" of
ascending colon. Trying to decide whether this is a reasonable
approach. Any thoughts? Thanks!
Operative findings 6/08: 1 cm polyp in the proximal ascending colon
just distal to the ileocecal valve. Multiple biopsies obtained,
including snare excision of the majority of the polyp as well as
biopsies with forceps. Due to the nature of the polyp, complete
removal not possible.
Pathology Lab Report 6/08: Diagnosis, Ascending Colon Polyp:
Tubulovillous adenoma. Microscopic Description: Sections show tubular
and elongated glands with adenomatous change without high-grade
dysplasia.
Operative findings 6/09: At the site of the previous tubulovillous
adenoma, there was an additional polyp, approx 1 cm x 1 cm. It was
somewhat sessile and the majority of the polyp was excised using cold
snare and forceps, but some polyp appeared to be remaining.
Pathology Lab Report 6/09: Diagnosis, Ascending Colon Polyp:
fragments of tubular adenoma, no high grade dysplasia identified.
Microscopic Description: Sections show multiple fragments of a polyp
having adenomatous change in the epithelium consisting of nuclear
basophilic hyper chromasia and stratification with mild dysplasia.
High grade epithelial dysplasia is absent.
--
Horse sense is the thing a horse has which keeps it from betting on people.
....WC Fields |
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| No Spam... |
| Posted: Wed Jul 08, 2009 8:46 pm |
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Guest
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On Mon, 06 Jul 2009 17:32:58 -0700, Steve wrote:
[quote:f88faade14]Clinical reports below. My doctor recommends a laparascopic right
hemi-colectomy to remove the polyp completely, along with 12-18" of
ascending colon. Trying to decide whether this is a reasonable approach.
Any thoughts? Thanks!
Operative findings 6/08: 1 cm polyp in the proximal ascending colon just
distal to the ileocecal valve. Multiple biopsies obtained, including
snare excision of the majority of the polyp as well as biopsies with
forceps. Due to the nature of the polyp, complete removal not possible.
Pathology Lab Report 6/08: Diagnosis, Ascending Colon Polyp:
Tubulovillous adenoma. Microscopic Description:Â Sections show tubular
and elongated glands with adenomatous change without high-grade
dysplasia.
Operative findings 6/09: At the site of the previous tubulovillous
adenoma, there was an additional polyp, approx 1 cm x 1 cm. It was
somewhat sessile and the majority of the polyp was excised using cold
snare and forceps, but some polyp appeared to be remaining.
Pathology Lab Report 6/09: Diagnosis, Ascending Colon Polyp: fragments
of tubular adenoma, no high grade dysplasia identified. Microscopic
Description: Sections show multiple fragments of a polyp having
adenomatous change in the epithelium consisting of nuclear basophilic
hyper chromasia and stratification with mild dysplasia. High grade
epithelial dysplasia is absent.
[/quote:f88faade14]
I would suggest getting another Doctor's second opinion. A newsgroup is
not the place. Google around to find the best GI surgeon in your region.
My Opinion?!, don't gamble your life for convenience, hedge your odds of
having no recurrence even if it puts your life style at an inconvenience.
Your Age and staging has allot to do with the long term prognoses so if
your younger, take the procedure that will assure the cancer's full
removal with great margins. |
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