| Key points to know : |
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Colonic polyps are small growths that occur inside the lining of the large bowel.
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There are two kinds of polyps. One polyp is called hyperplastic polyp.
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This polyp is currently thought NOT to turn into cancer. |
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The other polyp is called adenomatous polyp. |
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This polyp can turn into colon cancer. |
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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. |
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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. |
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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. |
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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. |
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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. |
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Some patients may have blood detected by a rectal examination or by the "slide" (guaic slide) test. |