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What should you know about tubular adenoma? What are the symptoms of the disease? What diagnostic tests should be performed for this disease? What is a colonoscopy? The question is answered by the drug. Paweł Żmuda-Trzebiatowski.
What should I know about tubular adenoma?
Good day. My name is Jacek and I am 55 years old. I’d like to inquire about colon cancer, to be exact tubular adenoma. Unfortunately, I am at risk of its occurrence, because my father at the age of 60 died of the above-mentioned cancer (tubular adenoma with greater degree of dysplasia). At the moment I don’t have any disturbing symptoms, my stomach doesn’t hurt in any way, I don’t have ulcers, no heartburn, nothing.
Nevertheless, due to the occurrence of an adenoma in my father, I would like to get tested and find out exactly what a tubular adenoma is. What is its diagnosis, treatment and prognosis. My father died because of him 15 years ago, so I think tubular adenoma is now well understood. I read on forum about adenomasthat the first thing I should do for diagnosis is colonoscopy. What is this test? There is a lot of information on the Internet about this neoplasm, but I would like to get reliable information about exactly what a tubular adenoma is. Please let me know. Thank you, Jacek.
The doctor explains what a tubular adenoma is
Dear Mr. Jacek, I would like to reassure you at the outset. Tubular adenoma is a benign tumor, not a malignant one. If your father died of colorectal cancer, he died of a malignant, not a benign lesion. So it wasn’t the tubular adenoma that was causing it. Colorectal neoplasms can be divided into benign, including adenomas, and malignant, primarily cancers.
There are, inter alia, tubular and villous adenomas. The latter are more likely to turn into crayfish in the future. When writing about adenoma, you also mentioned the degree of dysplasia. There is low, medium and high degree of dysplasia. Adenoma with dysplasia to a high degree it has a very high potential for malignancy. Such adenomas should be excised as soon as possible.
To diagnose the presence in general cancerous changes in the large intestine you should perform a colonoscopy, that is endoscopic examination of the large intestine. An endoscope with a camera is inserted through the anus, thanks to which the doctor performing the procedure can visualize the inside of the intestine and look for abnormal changes.
During the examination, the doctor does not know whether the lesion detected by him is a benign or malignant neoplasm. Only after such a lesion has been excised and subjected to a histopathological examination, it is possible to determine what exactly it is. Pathological examinations are performed by pathomorphologists. It is thanks to them that it is possible to determine the nature of the lesion removed from the intestine.
Presence tubular adenoma in the large intestine need not show any symptoms. However, it can sometimes be painful or bleed from the gut, but these are rare symptoms. Such an adenoma may be completely asymptomatic for many years and may develop symptoms only after potential transformation into cancer. Of course, early stage cancers may also be asymptomatic, only when they begin to grow rapidly and infiltrate neighboring structures, they cause symptoms.
In your case, a colonoscopy is absolutely recommended. The test is not painful, but quite unpleasant, but necessary for further diagnostics.
– Lek. Paweł Żmuda-Trzebiatowski
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