This question was answered on Sun 21, Nov 2010 10:09am by Dr.Kokil Mathur

I have been diagnosed at colonoscopy with a colon tumor at the hepatic flexure. It was biopsied and 8 samples taken. The pathology report said

    
Asked by slsama (Male; 61; UNITED STATES; see question; Relevant drugs:none ) on Sun 21, Nov 2010 08:15am
Priced at $9.00

I have been diagnosed at colonoscopy with a colon tumor at the hepatic flexure. It was biopsied and 8 samples taken. The pathology report said "fragments of villous adenoma". The colonoscopy findings were of a fungating circumferential partially obstructing mass, 3 cm in length, with oozing present. CT scans show no spread. Apparently I have none of the risk factors for this except age. I am 61, never smoked, do not drink alcohol and never used recreational drugs. I am not overweight, and do not take any medications. My father had gastric cancer. I have been told I need surgery and that it should be a right hemicolectomy. This is quite radical compared to just removing the tumor with margins. I get vague reasons about disturbed blood supply to the colon from surgery and getting a proper harvest of lymph nodes "in case" of cancer. I have consulted 3 endoscopic surgeons about having an EMR procedure to remove the tumor, but they referred me back to conventional surgery. So my question is whether or how I should pursue less aggressive surgery in order to preserve the ileocecal valve and the ascending colon where most of the fecal water is reabsorbed. This, of course, is to ensure the absolute best quality of life after surgery. The surgeons play down my concerns but I am not convinced.

Actions: | Forward |
Answer


Name 

Email 

Security code
Enter the text as shown above


E-Mail me when someone replies to this post
Answer by Dr.Kokil Mathur  on Sun 21, Nov 2010 10:09am:

Hi! I can understand your concern. Villous adenomas are basically polyps of the colon. If the size is less than 1 cm then chances of cancer are almost nil. However if the size is 1 cm or more, then there is 10% chance of developing cancer, this increases slightly if there is a family history of gut cancer, as in your case. Also if adenomas have villous extensions then the risk of cancer increases another further. Hence in your case we are talking of a higher risk of developing cancer in future than in case of simple polyps. In your case I have a feeling that you have many such growths covering a large area of hepatic flexure of colon and this may be appearing as a large tumor. This could be the reason why surgical resection of colon has been advised in your case. Also a large oozing tumor is not a good sign. Though endoscopic laser therapy has been found effective in hepatic flexure growths with or without dysplasia (http://www.ncbi.nlm.nih.gov/pubmed/10202067), you have been to several endoscopic doctors and all are advising conventional surgery and hence I feel that you should accept that as the treatment of choice in your case. Only removing the tumor may not be an option due to position, size, risk of cancer, and villous extensions. Biopsies at times miss the actual cancer portion and if doctors suspect cancer by look of the tumor then a radical surgery is panned. Hope this helps you understand your case to some extent. You can discuss these points with your surgeon. Please feel free to ask anything else you may want to know. Take care!

If you find the site useful, please consider making a donation.  Click the button to donate.   

Please rate my answer (select the stars, no need to log in.)  

Comments:

Comment by Dr Sanjivani Wanjari on Mon 22, Nov 2010 01:08am:

This question is open for comments.  Please share your opinion.

Comments


Name 

Email 

Security code
Enter the text as shown above


E-Mail me when someone replies to this post


 
What users are searching right now on Ask Medical Doctor:
lumpintheinsideofmy     easy six vaccination for baby     pridepstablet     timescales for cancer     secondary conditions due to diabetes     toothache headache achy muscles     will using otomize ear spray prevent microgyman from working properly     fgam     wbc count of 37     possibility of rabies in a kitten     Wome     what does it mean if your temperature is 952     Igetkneepainaftersleepingfor4h     HelloDoctor     causesofgreenstool     microscopy consistent with gential contamination     throbbing pain in right side of face from jaw to temple     cause of piles     Recovery time colloid cyst     mirena     skindamage     Lowgradefeverforthreeweeksgoin     how to break a hymen     kidneydilationinfetusat32weeks     ringing     Medicenes for sex     isfemaleejaculationreal     Spot     Search for answers     deardoctorimafemaleandiam55yearsold73700     fat pelvic pad     othopedic     wha     i nhave the urge to urinate but cant until i have a bowel movement why is this     once a woman has tubes tied do they still have periods     Precancerousgrowththesizeofthumbonpancreasmucinous     protein     can i have an investigative laparoscopy if i have my period     Bible     Swellingonbackofheadaftersurgery     Ihavehadastomachacheforaboutaweekandafewnightsagowhenilaidonmystomachitseemedlikeifeltaknotwhatcoulditbe     removal of a hard purple spot on chin was a mass     Isl evodynasaferemedyforhypertension73229     fatigueheadachsshortnessofbreath16402     how to delete a question     kidney ultr sound     Do tonsils dissolve over time     kidney dilation in fetus at 32 weeks     what antibiotic will i need to treat pulse at the end of the penis     peripheralneuropthywhatisit     Increase20semen20cum20alot20big     viral infection     wokeupearlychristmasmorningwithdiarrhea     bedbugsbite     why my eyes going inside     EyesaregoingInsidelookingatmyfaceshowingIamverymuchtired9867q     steriods     Mysonhastakentomuchmedicine     topics     can a girl get pregnant from dryed sperm on fingers     enlarged lymph nodes with high white blood count     psychiatrist     cant ejaculate during sex     small bruises for no reason     why am i not peeing     grogginess     imdischargingveryhardstool     is the womb wash painful     Infant sinus mediine     tremblinfofthelips     Ids     afraid     when20doing20tests20of20verginity20on20a20girl20does20the20test20involve20anal20verginity20too     allaergic     why would your fingernails suddenly turn yellow     pimplesonvagina     boil     symtoms of lupus     skin     tias     urinate     trimix cost per injection     pale     can you get ascites in your kidneys     Gtnpenis     during     swollen feet 32 weeks preganant     Sti     can Human Growth Hormone be effective for an 18 year who is 4ft9 and is trying to gain a some height     sronyx     Very     st drops     thorn     tamiflu     I paid for a chat I got nothing in return please refund my paypal     dark green goop in lungs     vaccine     Will cephalexin cure chlymidia     coughing headache     what causes itchy skin and vomiting     pregnant mental illness medication     cat allergy     sharppainsandcrampsafterabortion     paget disease     premian     OVC     dip in spine painful bruised but no trauma     mucus     holeunderarm     what are the effect of initial sex     Search for answers     low testosterone     secondary amenorrhea     why does my back burn and ache     ct scan result of a 4 year old dilated lateral ventricle     sore throat     Search for answers     symptoms of gerd     Search for answers     pankaj     dischargeafterurination20156     Search for answers     stye     pictures of circular red itchy patch     Thinning uterus older women     how big is 6mm     testicleexpands     secondary amenorrhea     policks what are they     PREGNANCY     how long does it usually take to determine you have herpies virus     Abortion     urinatingmoreoftenpaininstomach     FOR     duromine     MAST     necktingling     homeopathic medicine for lekoria     what antibiotic will i need to treat pulse at the end of the penis     how big is 6 cm lump in breast     roseola     faint bands noted in IGM and kappa     rabies bat     can take levodyn     pain on lower left side     

©2011 - Ask Medical Doctor  |  All Rights Reserved
The site is not a replacement for professional medical opinion, examination, diagnosis or treatment. Always seek the advice of your medical doctor or other qualified health professional before starting any new treatment or making any changes to existing treatment. Do not delay seeking or disregard medical advice based on information written by any author on this site. No health questions and information on AskMedicalDoctor is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor. Posts made to these forums express the views and opinions of the author, and not the administrators, moderators, or editorial staff and hence AskMedicalDoctor and its principals will accept no liabilities or responsibilities for the statements made.

Home | Terms & Conditions | Contact Us | Frequently Asked Questions | Disclaimer | Privacy Policy | Advertise with us
Stats