This question was answered on Sun 21, Nov 2010 09:09am 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 07:15am
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 09:09am:

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 12:08am:

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:
aremtpsafe     confusion     Whyismy10yrolddaughteralwaysinabadmoodeverythingbothersherIsitachangeinher     vaginal odor     isitoktohave     RecurringChestPain     what is densities in right apex mean     thyroid surgery     Wherecaibybedyoleta     HOWMANYTIMESICANMASTRIBUTEPERWEEK     chicken bone     Chapped vagina     whatisanecoliwaterinfection     isbronchitisinfectionist     Dieticulitis     if roofied how long do affects last     Search for answers     broadbasedposteriordiscbulge     Search for answers     kneepainwhilesleeping     tramadol     Search for answers     marijuana     Search for answers     Lisinopril     Cramping the day my period is due but I hadnt early     vaginal discharge     over sensitive glans     clomid     harding     search     hearing loss     bilateralthighpainsuddenonsetunrelatedtoactivity     Prednisonequestion     Search for answers     Blood Pressure     liver spots     Search for answers     igg     search     rash on back     Highneckpain     My husband and I are trying to get pregnant with our 3rd child but I had the mirena IUD in for a little over a year and just had it removed october 20th iI started a normal period on october 22nd which lasted for 5 days So I was ovulating from     DRY SKIN ON SCROTUM     Adrenal deficiency     BOG BITE     ChronicSwollenPainfulNeckLymphNode84077ResultchosennicknamebpwjhvaxdregisteredregisteringonlymodeisON     iregular     dildo     dry cough when talking     diabetes     yeast     pregnancy     period     abortion     weight loss     fertility     blood pressure     urinary track     knee     low     How can I help my child avoid sexting     Signs of anemia     is it harmful to swallow semen if your partner is on antibiotics     COTTON STUCK IN EAR     SEXAFTERHYSTERECTOMT     swollen lymph node     diaptiesandthebeer     Can tobi be used to treat bronchospasm     bloated feet     Bipolar Disorder     Bold clots     Can     ihaveacidityprobleminmystomachanditakemoretimewhenigotolatrine     etgtesting     hole in bleare     heartburn with black stool     Anal     treatment for arthritis     finger     menactra     Itchingaroundtesticles     canyougetagirlpregnantwithdryprecumbyfinge     sore throat     Mush     effect     irritated perineum     whattreatmentofincreaseofuricacidlevel762gm     feels like band around my ankle     shooting     ivehadservreasthmaattackswhilehaving     irritable20bowel20syndrome     Cocaine pregnancy     child     discolorationofglanspenis     swelling and numbness on the lip     fordyce spots     ovarian cysts     causes of headache     vomiting little white ball     eupressyl     doearpiercingsclose     Can fillers move     IHAVEATOTAL     how many do i take of the clavomid 625 antibiotic     flickering of left eye     sgotast 87 high sgptalt 223 high     unin     Bronchitis     my cum is burning my wife when i cum inside her     how to file bankruptcy online in ohio     Is pill Lorsartan taken for kidney problem     Search for answers     

©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