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Q&A with Australian Health Practitioners
Is a colon resection after removal of cancerous polyp common?
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My husband just had a small polyp removed after his first colonoscopy (he is 60) and it was found to be cancerous. It was a sessile sigmoid polyp approximately 1 and 1/2cm. The margins were clear but only 1 mm. margins and it was caught early. The surgeon has recommended a colon resection to remove nearby lymph nodes to prevent possible spread of cancer through lymph nodes. He indicated possibility was 10-20 that lymph nodes had been affected. Is this a standard treatment given my husband's situation? -
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Bowel Cancer Australia is the leading community-funded charity dedicated to prevention, early diagnosis, research, quality treatment and care for everyone affected by bowel cancer. We … View Profile
Thank you very much for your enquiry.
Due to the detailed nature of your questions they are quite difficult to answer in an online forum.
If you'd like to send your questions through to Bowel Cancer Australia's Nurse Adviser we'd be very happy to get in contact with you to provide an individualised response and advice.
You can send your questions to us using the web form available at http://www.bowelcanceraustralia.org/bca/index.php?option=com_content&view=article&id=305&Itemid=305.
In the meantime you may also be interested to read some of the information available on the Bowel Cancer Australia website including:
• Bowel Cancer: Diagnosis - http://www.bowelcanceraustralia.org/bca/index.php?option=com_content&view=article&id=148&Itemid=301
•Bowel Cancer: Tests and Investigations - http://www.bowelcanceraustralia.org/bca/index.php?option=com_content&view=article&id=147&Itemid=300
• Bowel Cancer: Surgery & Treatment - http://www.bowelcanceraustralia.org/bca/index.php?option=com_content&view=article&id=149&Itemid=302
•Living with bowel cancer - http://www.bowelcanceraustralia.org/bca/index.php?option=com_content&view=article&id=459&Itemid=303
•Bowel cancer: What I Need to Ask - http://www.bowelcanceraustralia.org/bca/index.php?option=com_content&view=article&id=325&Itemid=47
We look forward to receiving your questions and to offering you some tailored advice.
Kind Regards,
The team at Bowel Cancer Australia
www.bowelcanceraustralia.org
Please Note: The information provided by Bowel Cancer Australia’s Nurse and Nutritionist Advisory Services is intended for Australian residents as a reference guide only. It is not a substitute for independent professional advice and is not intended to be used to diagnose, treat, cure or prevent any disease or disorder.
If you believe your symptoms are consistent with those of bowel cancer or a digestive illness, please consult your doctor.
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Dr Douglas Samuel
Gastroenterologist
Dr Douglas Samuel specialises in digestive and liver diseases and GI endoscopy including gastroscopy, colonoscopy and balloon-assisted enteroscopy. He has a special interest in Crohn's … View Profile
If your husband has a T1 lesion then this is considered an early colorectal cancer and with treatment he is highly likely to be cured. I agree with BCA above that due to the detailed nature of your questions it is difficult to answer in an online forum.
The treatment of early-stage colorectal cancers removed endoscopically depends on tumour characteristics after histopathologic review and your husband's ability to tolerate degrees of risk. Some T1 tumours are treated with polypectomy alone with surveillance and others are treated with surgery. Here are some links in the medical literature that may help:
Pathologic predictive factors for lymph node metastasis in submucosal invasive (T1) colorectal cancer: a systematic review and meta-analysis
Large case series from Mayo Hospital, USA
Surgery including regional lymph node after endoscopic resection for T1 colorectal cancer
Colectomy after colonoscopic polypectomy for T1 colon cancer: a fine balance between oncologic benefit and operative risk
I recommend a surgical opinion in all T1 tumours. The risk of lymph node spread in even the very earliest colorectal cancers is never zero and for some healthy patients they would rather have surgery to manage even a <2% risk. Each case will require a very personal decision weighing up risk and benefit. If you and your husband are uncomfortable with the first opinion, you might ask your local doctor to help you to seek a second opinion from another colorectal surgeon or gastroenterologist.Report this post
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