Will polyps come back
Will Cancerous Polyps Come Back?
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During a colonoscopy, my doctor said he found cancerous polyps. He said he took them out and told me that he got them all. Do I have to worry about these coming back? What would cause them to recur? Is there any way for me to tell if they come back, beyond getting another colonoscopy?
Many varieties of polyps can be found during colonoscopy. There are four types of non-neoplastic, or noncancerous, polyps: hyperplastic polyps, mucosal polyps, submucosal polyps, and inflammatory pseudopolyps. These polyps do not have the potential to become cancerous.
Another group of polyps are known as adenomatous polyps, of which there are three types: tubular, villous, and tubulovillous polyps. Thesedohave the potential to become colon cancer, and the risk is further increased if there are atypical cells — also called dysplasia. When a polyp has cancerous features and is small enough, it can be removed during colonoscopy. And as long as the margins (the adjoining tissues) are free of cancer, a patient who has had these types of polyps removed won't need to have a repeat colonoscopy for five years. In answer to your final question, there is no more reliable way to tell whether your polyps have come back than to have periodic colonoscopies.
The reasons polyps develop are not clear, though there may be a genetic propensity for certain types of polyps to develop in certain people. In general, you can help reduce the chance that your polyps will come back by consuming a healthy, low-fat diet, maintaining your weight, and avoiding smoking and alcohol. Some research suggests that dietary supplementation with calcium carbonate can also help in reducing the risk of polyp recurrence.
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