Colon Polyps -- Five Key Facts You Should Know
2. NOT ALL POLYPS ARE CREATED EQUAL
There are several different types of polyps in the colon. The type of colon polyp that is most frequently associated with the development of colon cancer is called the adenoma or adenomatous polyp. Not every adenoma will turn to colon cancer but almost all colon cancer begins its life as an adenomatous polyp. Therefore, the very first thing you will need to ask your doctor when they tell you that a polyp was removed from your colon is: Was the polyp an adenoma?
3. WITH ADENOMATOUS POLYPS, SIZE MATTERS
The larger the adenomatous polyp, the more likely that polyp will turn into colon cancer. For example, a polyp that reaches 2 cm (nearly an inch) in size carries a greater than 20% risk of already containing colon cancer.
4. TUBULAR, VILLOUS, AND TUBULO-VILLOUS ADENOMAS
When your adenomatous polyp is removed it will be sent to the hospital's pathology department for microscopic evaluation. Based on this microscopic evaluation, your adenoma will be classified as "tubular", "villous" or tubulo-villous". What you need to know is that tubular adenomas carry the least risk of cancer and villous adenomatous polyps carry the greatest cancer risk. A large villous polyp carries a significant risk of cancer. For example, the risk of colon cancer associated with a villous adenomatous polyp in excess of 4 cm in size approaches 40%.
5. PEDUNCULATED POLYPS VS. SESSILE POLYPS
Some adenomatous polyps grow on stocks or stems and look like mushrooms. These are called pedunculated polyps. Other adenomatous polyps grow flat against the wall of the colon. These flatter adenomas are called sessile polyps. The important thing to know is that pedunculated polyps are easier to remove during colonoscopy than sessile polyps. In fact, it is very difficult to completely remove a sessile polyp during a colonoscopy. If you are told that a large sessile adenomatous polyp was found in your colon, you will probably need surgery to make sure that the entire polyp is removed.
The lawyers at Berger & Lagnese have had a great deal of experience in cases where colon cancer was not diagnosed due to medical malpractice. If your colon cancer was missed or misdiagnosed or not diagnosed when it should have been, the lawyers at Berger & Lagnese will investigate your case, interview the doctors and nurses at the hospital involved, hire the top experts to review your medical care, and find out what really happened. Berger & Lagense specializes in medical malpractice cases in Pennsylvania, including Pittsburgh, Greensburg, Uniontown, Beaver, Erie, and Washington PA.