Polyps and cancer Most polyps are benign, which means they are harmless. But because polyps are caused by abnormal cell growth and, like cancer, grow through rapidly dividing cells, they can become malignant.
The most important thing you should know is that having colon polyps does not mean you have colon cancer. In fact, most colon polyps don't progress to become cancerous.
Most colon polyps are harmless. But over time, some colon polyps can develop into colon cancer. Colon cancer can be fatal when found in its later stages. Anyone can develop colon polyps.
A polyp is a growth inside of your body. Most aren't cancerous (benign), but a polyp contains abnormal cells or cells that may become abnormal (malignant). A polyp is usually a flat bump or shaped like a mushroom. Cancerous polyps can develop in many places in your body, such as your colon or uterus.
Polyps are common in American adults, and while many colon polyps are harmless, over time, some polyps could develop into colon cancer. While the majority of colon cancers start as polyps, only 5-10% of all polyps will become cancerous. The size of a polyp typically does make a difference.
How long does it take for a polyp to turn into cancer? The growth and mutation of colon polyps into cancer is a slow process, taking an estimated 10 years on average.
If a doctor discovers polyps, they will often remove them via a colonoscopy or laparoscopy. The doctor will then send any removed polyps to a pathologist for a biopsy to see if cancer is present. If the biopsy reveals that cancer is present, then cancer specialists will outline a treatment plan for the person.
Doctors treat colon polyps by removing them. In most cases, doctors use special tools during a colonoscopy or flexible sigmoidoscopy to remove colon polyps. After doctors remove the polyp, they send it for testing to check for cancer. A pathologist will review the test results and send a report to your doctor.
Given enough time to grow and develop, some adenomatous polyps can spread into surrounding tissues and infiltrate the two highway systems of the body: the bloodstream and the lymph nodes. This ability to invade and spread, or metastasize, is how we define a cancer.
If your doctor finds one or two polyps less than 0.4 inch (1 centimeter) in diameter, he or she may recommend a repeat colonoscopy in 7 to 10 years, depending on your other risk factors for colon cancer. Your doctor will recommend another colonoscopy sooner if you have: More than two polyps.
Cancerous polyps tend to grow slowly. It is estimated that the polyp dwell time, the time needed for a small adenoma to transform into a cancer, may be on average 10 years (17).
A precancerous polyp by itself is not malignant but if left untreated can become cancerous. It is very common for adults to have polyps in their colon. Precancerous lesions can usually be surgically extracted to avoid cancer. There are two types of polyps hyperplastic polyps and adenomatous polyps.
Polyps are benign, meaning that they're not cancer and they won't spread, but over time certain types can develop into cancer. One of these types is called adenomatous polyps. These are known as pre-cancerous polyps. Polyps bigger than 1 centimeter have a greater cancer risk than polyps under 1 centimeter.
For colon cancer, the overall 5-year relative survival rate for people is 63%. If the cancer is diagnosed at a localized stage, the survival rate is 91%. If the cancer has spread to surrounding tissues or organs and/or the regional lymph nodes, the 5-year relative survival rate is 72%.
Now, as cells with mutations build up on the lining of your colon, they can form a small cluster that appears as a polyp. The polyp can enlarge, as mutated cells start growing faster and living longer. Eventually, in this all this activity, it's possible that a mutation takes a cancerous turn.
They can occur anywhere in the large intestine or rectum, but are more commonly found in the left colon, sigmoid colon, or rectum.
Colorectal cancer can occur without polyps, but it is thought to be an uncommon event. Individuals with long-standing inflammatory bowel diseases, such as chronic ulcerative colitis and Crohn's colitis, are at increased risk for developing colorectal cancer that occurs in the absence of obvious polyps.
Research indicates that as many as 60 percent of polyps may grow back within three years. Also, about 30 percent of patients who've had polyps removed will develop new ones. This is why it is important to talk to the care team about follow-up screening within five years after the polyps are removed.
If a polyp has cancerous cells, they will also biopsy nearby lymph nodes to determine if the cancer has spread or metastasized to other areas of the body. In this case radiation, chemotherapy or other therapies may be recommended. Colonoscopy screenings can be life saving!
Sometimes, your doctor can remove polyps during a colonoscopy and no further treatment is necessary. Other times, you may need surgery and/or chemotherapy.
How Are Polyps Removed? Almost all precancerous polyps found during colonoscopy can be completely removed during the procedure. Various removal techniques are available; most involve removing them with a wire loop or biopsy forceps, sometimes using electric current. This is called polyp resection or polypectomy.
If the colonoscopy finds one or two small polyps (5 mm in diameter or smaller), you are considered at relatively low risk. Most people will not have to return for a follow-up colonoscopy for at least five years, and possibly longer.
In multivariable analysis, the presence of 5 or more polyps at index colonoscopy was found to be associated with the risk of metachronous HR-CRN (OR, 2.575, p = 0.049) after adjusting for risk factors, such as obesity, diabetes, and smoking.