Colonoscopy findings, concerns etc

Anonymous
Anonymous wrote:Hi OP, im glad to hear your husband had his colonoscopy before the polyp could grow even bigger. Have you heard back from the doctor yet?

As others have said, it’s not uncommon to have larger polyps removed at a hospital.

Curious if your husband’s doctor is a colorectal surgeon or a gastroenterologist? If a gastro, they might feel more comfortable having this done by a surgeon.



DH colonoscopy doc is a gastroenterology. Not surgeon.
Anonymous
I think your next step is a colorectal surgeon, even if everything is benign it's the possible obstruction that is also a key issue and will likely require surgery. You don't want an obstruction emergency down the road. Best to be proactive. My husband used Dr. Meickle in Loudon. As a side note, My husband did require a temporary ostomy bag. It was not bad and nothing like I feared. Sending you well wishes.
Anonymous
Anonymous wrote:
Anonymous wrote:50 something DH, first colonoscopy. (Did poop box prior with normal findings).

Five polyps, four were standard small ones, removed. One polyp doc called a mass. 30mm wide, on a stem. He was concerned about it and said it would be problematic to remove at the surgery center bc of size and bleed risk. He took biopsies of the large one. He also said that he wants biopsies of the smaller ones too. The large one, looks like it has a cloud type top like a cumulus cloud with many "bubbles" in terms of shape, and you can see capillaries and even a yellowish color and slightly rough appearance and a couple dark speckles. Color seems uneven.. Hard to describe it but we have pics. He said he's not too worried at this point and that we need to wait for final word on pathology. But that maybe we came in nick of time. He said we have to go to hospital to get it removed by a surgeon bc it will start to cause obstruction issues soon even assuming it were benign. He said don't worry much and that he'd let us know in a couple weeks. And then we can proceed to next steps. I lookedbat pics of benign tumors vs malignant ones and it didn't look too good. But what do I know.

Thoughts of those who have had similar experiences? I personally think he thinks it's malignant and didn't want to remove it. Doesn't cancer have robust blood supply? He expressed concern about bleeding and how it would be risky to remove it.

Do not settle for "I let you know in a couple weeks" as an answer.
Pathology results should not take more than 5 days.
Doc should already have referred your DH to a surgeon. Regardless, you need to make an appointment with a colorectal surgeon.
Only after pathology will you know if you need to make an appointment with an oncologist (although I had a cauliflower-looking mass and my doc and surgeon encouraged me to make the oncologist appt before the pathology report was back.)
I'd be happy to answer any questions. Good luck.

👆👆Ask for recs here or on a new thread. My excellent colorectal surgeon has moved out of the area.
Anonymous
OP here
Results are clear. No colon cancer!. But mass will still have to be removed in next month or two bc it is starting to obstruct.

Thanks all!
Anonymous
Anonymous wrote:OP here
Results are clear. No colon cancer!. But mass will still have to be removed in next month or two bc it is starting to obstruct.

Thanks all!

oh great news. thanks for the update. do you have a surgeon?
Anonymous
Not yet. But working with gastroenterology who will do it with a general surgeon at medstar georgetown.
Anonymous
Wonderful news OP! Thanks for the update!
Anonymous
So glad to read the update, OP! Best wishes to your DH on the upcoming procedure.
Anonymous
Phew!! So glad to hear it.
Anonymous
If anyone is looking for a colorectal surgeon I can recommend Dr. Vivek Patil in Bethesda.
Anonymous
Anonymous wrote:Not yet. But working with gastroenterology who will do it with a general surgeon at medstar georgetown.
Anonymous
Good news, OP.

Curious as to why DH went with the poop test to begin with?
Anonymous
Anonymous wrote:
Anonymous wrote:Not yet. But working with gastroenterology who will do it with a general surgeon at medstar georgetown.

Assuming a resection is necessary I don’t understand this approach. But I’m sure OP is getting plenty of advice.
Anonymous
Anonymous wrote:Good news, OP.

Curious as to why DH went with the poop test to begin with?


The usual reasons. Didn't want to do prep and poop box was offered. That being said he said the prep wasn't that bad. Bc he lightened up his diet three or four days before.
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