Bowel polyps do not usually cause any symptoms, so most people with polyps will not know they have them. They're often picked up during screening for bowel cancer. But some larger polyps can cause: a small amount of slime (mucus) or blood in your poo (rectal bleeding)
The only way to be sure that a colon polyp has cancer is to remove the polyp and look at it under a microscope. But a colonoscopy may show some signs that there may be cancer.
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. So as long as patients are screened, it is unlikely they will develop cancerous polyps.
If the cancer has not spread and is localized to the colon, then the 5-year survival rate is 91%. However, if the cancer has spread to the nearby tissues or lymph nodes, the 5-year survival rate is 72%. The survival rate drops to 14% if the cancer spreads to distant parts of the body.
Signs and symptoms of colon cancer include: A persistent change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool. Rectal bleeding or blood in your stool. Persistent abdominal discomfort, such as cramps, gas or pain.
They can occur anywhere in the large intestine or rectum, but are more commonly found in the left colon, sigmoid colon, or rectum.
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!
Larger polyps might be removed during colonoscopy using special tools to remove the polyp and a small amount of the inner lining of the colon in a procedure called an endoscopic mucosal resection. Minimally invasive surgery (laparoscopic surgery).
If the polyps are larger (10 mm or larger), more numerous, or abnormal in appearance under a microscope, you may have to return in three years or sooner. If the exam finds no polyps, "your cancer risk is essentially the average for the population, and you can wait 10 years for the next screening," Dr. Saltzman says.
Most polyps are benign (not cancerous). Your doctor can tell if a colon polyp is cancerous during a colonoscopy by collecting tissue to biopsy. The results of the biopsy are typically sent to your doctor within a week. Only 5% to 10% of all polyps become cancerous.
Although ultrasound is clearly not one of the widely accepted screening techniques, this non-invasive and radiation-free modality is also capable of detecting colonic polyps, both benign and malignant. Such colon lesions may be encountered when not expected, usually during general abdominal sonography.
Because of this, it's important to keep up with colon cancer screening. Some people with colon polyps may experience these symptoms. Pain. Large polyps can obstruct the bowel and cause abdominal pain or cramping.
A polyp, which can be flat, raised or on a stalk, is a growth in the large intestine or rectum. You may not have symptoms, so screening is needed to help prevent a polyp turning into colorectal cancer. Screening methods include colonoscopy, sigmoidoscopy, a stool test or a CT scan.
Although malignant sessile colon polyps usually require colectomy for proper treatment, the vast majority of malignant pedunculated polyps can be removed colonoscopically for cure.
Common Symptoms of Colon Polyps
Changes in Bowel Movements – Sometimes colon polyps can lead to constipation or diarrhea that persists for longer than a week, as well as general changes in bowel habits.
If a cancerous polyp is removed completely during colonoscopy with no cancer cells at the edges of the polyp, then no additional treatment may be needed. If there are cancer cells at the edges of the polyp, additional surgery may be needed.
Villous Adenoma (Tubulovillous Adenoma)
Approximately 15 percent of polyps detected in colon cancer screening are villous or tubulovillous adenomas. This type of polyp carries a high risk of turning cancerous.
In 1 to 7 years, depending on a variety of factors: The number, size and type of polyps removed; if you have a history of polyps in previous colonoscopy procedures; if you have certain genetic syndromes; or if you have a family history of colon cancer.
Approximately 1% of polyps with a diameter less than 1 centimeter (cm) are cancerous. More than one polyp or a polyp that is 1 cm or bigger places you at higher risk for colon cancer. Up to 50% of polyps greater than 2 cm (about the diameter of a nickel) are cancerous.
Most colorectal cancers start as a growth on the inner lining of the colon or rectum. These growths are called polyps. Some types of polyps can change into cancer over time (usually many years), but not all polyps become cancer. The chance of a polyp turning into cancer depends on the type of polyp it is.
The 3 main symptoms of bowel cancer are blood in the stools (faeces), changes in bowel habit – such as more frequent, looser stools – and abdominal (tummy) pain. However, these symptoms are very common and most people with them do not have bowel cancer.
Abdominal pain, aches, or cramps may be symptoms of colorectal cancer. If you have any symptoms that worry you, be sure to see your doctor right away.
Bowel obstruction
intermittent, and occasionally severe, abdominal pain – this is always brought on by eating. unintentional weight loss – with persistent abdominal pain. constant swelling of the tummy – with abdominal pain. being sick – with constant abdominal swelling.