What Are the Two Types of Colon Polyps?

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Hello, Dr. Crook? John it's Cathy Artul. Hi Cathy? Hi. What is it? I just got down by looking at the slide and it's an adenoma, actually it's adenoma. Yeah. I have to say that I'm not surprised. Does it have any other features that would make you worry? There's a little bit of information in the background, so it's a little bit raved up.

Thanks a million. You're very welcome. Alright, bye bye. Hey John boy how are you? Take a little piece of me last week. I'm always looking after it. I appreciate it. Alright and let's go over what we found okay. This is the polyp right here, we sent that to the pathologist and as you know there could be two types of polyps, it could be hyperplastic those kind that almost never become cancer, and really they felt to be totally denied.

The others are adenomatous and those are the kind where if you leave them in, they have the potential to become cancer over time, alright. I got the phone call from doctor Artul and he told me that this polyp was adenomatous, it was autonomous. So you have a kind of polyp where had it and left in could have developed into a cancer over time, how long? It could have been 7, 10, 15 years, but before that things started to turn in.

So, let me see, how do you know for sure that you got adequate margins around this that this polyp [xx]? Okay. here's the before, here's the after, and I not only removed the area of the polyp but a little bit of the perimeter around it. Okay but I'm not going to bet your life that my eyes were as good as a microscope, so you're going to come back, and by the time you come back even if it's just a couple of cells there, I'm going to go back and get it, so in this case, you have something which happens to be the second living cancer killer.

I can''t help but think that if I had left that state for a decade and delayed my colonoscopy till I was 60, that could have developed in the cancer. Am I right? You're absolutely right and in fact we think that the vast majority of colon cancer start exactly like this. Hey honey, how are you? Yes.

So it's an adenomatous polyp, which is the not good kind. Okay. Yeap, I'm feeling fine. Alright, I love you honey and I'll see to you tonight, we have to talk to the kids too by the way, because they have to be screened. The kids will have to be screened earlier too. Alright we'll talk when I get home.

I love you. Bye.