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.
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.
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.
So, the more polyps you have, the higher your cancer risk. Someone with just one or two small polyps is generally at lower risk of having or developing colon cancer than someone with three to nine, or more.
No. Some abnormal growths can actually be benign. And there are several different kinds of colon polyps. Not all of them will turn into cancer.
A gastroenterologist, the specialist who usually performs a colonoscopy, can't tell for certain if a colon polyp is precancerous or cancerous until it's removed and examined under a microscope.
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. Common treatments for colon cancer include surgery, chemotherapy, and radiotherapy.
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.
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.
Smoking, obesity, diabetes, and inadequate exercise are risk factors for polyps, but many people with none of these risk factors have precancerous polyps in the colon. There are genetic risk factors for developing polyps as well.
Aging — Polyps and colorectal cancers are uncommon before age 40. Ninety percent of cases occur after age 50, with males somewhat more likely to develop polyps than females; therefore, colon cancer screening is usually recommended starting at age 50 for both sexes.
Don't worry. Most polyps aren't cancer. But some types of colon polyps do increase your risk of developing colonrectal cancer. So, it's important to be informed.
Symptoms of bowel polyps
But some larger polyps can cause: a small amount of slime (mucus) or blood in your poo (rectal bleeding) diarrhoea or constipation. pain in your tummy (abdominal pain)
They can occur anywhere in the large intestine or rectum, but are more commonly found in the left colon, sigmoid colon, or rectum.
After polyps are removed it can take up to a week for the patient to fully recover. During this time, patients should avoid all strenuous activities, which includes lifting anything over five pounds.
(pree-KAN-seh-rus PAH-lips) Growths that may become cancer that protrude from a mucous membrane.
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.
A polyp biopsy is a test that takes a sample of, or removes polyps (abnormal growths) for examination.
Polyp Growth Rates
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).
“After an advanced polyp has been removed, the whole colon remains at risk for cancer, and periodic colonoscopy is needed,” said Schoen. Intriguingly, the study also showed that people with non-advanced polyps had a risk for cancer similar to a person without polyps.