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colon cancer and polyps
Key points to know :
Colonic polyps are small growths that occur inside the lining of the large bowel.
There are two kinds of polyps. One polyp is called hyperplastic polyp.
This polyp is currently thought NOT to turn into cancer.
The other polyp is called adenomatous polyp.
This polyp can turn into colon cancer.
Polyps tend to recur either in the same location or different locations. That is why patients often need repeat evaluation with a colonoscopy every 2 to 5 years.
Polyps are detected by doing a test called flexible sigmoidoscopy (which is an incomplete evaluation of the colon) or a colonoscopy. If you have a polyp detected on a flexible sigmoidoscopy, then you will require a complete evaluation with a colonoscopy.
Polyps and Colon cancer run in families. If you have a family history of colon cancer or colonic polyps, then you should consult your doctor for further evaluation.
Polyps typically are thought to occur more frequently after 50 years of age. Patients who have passed the age of 50 are often sent to a gastroenterologist (GI specialist) for evaluation. The purpose is to remove the polyps before they turn into cancer.
Most often patients DO NOT have symptoms with polyp or cancer. That is why Medicare has now approved Screening Colonoscopy i.e. a colonoscopy procedure for all patients past the age of 50 even when they have no symptoms. This is similar to women undergoing pap smears and mammograms and men having a prostate examination although they do not have any symptoms.
Some patients may have blood detected by a rectal examination or by the "slide" (guaic slide) test.
 
 
 
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