So many Colon Polyps in colonoscopies, does this mean surgery?

I am 55 and male, I have had two Colonoscopies from two different gastroenterologists the first had 35 polyps and the second had 20, sixth months later. Both surgeons recommended that I have my Large Intestine removed. Some were big most were smaller in both procedures, Is the fact that I'm proned to getting so many, quickly, that eventually I will get cancer, even though all were non-cancerous. Should I just monitor or have the operation?

[Bhupinder Kaur, MD]

Hello,
The most common types of polyps are hyperplastic and adenomatous polyps. Multiple adenomatous polyps often result in familial polyposis coli or familial adenomatous polyposis, a condition that carries a very high risk of colon cancer. Colorectal cancer is preventable if precancerous polyps (ie, adenomas) are detected and removed before they become malignant (cancerous). Over time, small polyps can change their structure and become cancerous. so it is advisable to take the opinion of a GI surgeon and get it removed.

It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.