High Grade Cell Dysplasia

I recently had a colonoscopy, which revealed tubulovillous adenoma, 1 CM, with focal high grade cell dysplasia.  The doctor removed the polyp, with a diagnosis appearing to be free of dysplasia.

Frankly, I am from the Boston area and now reside in Florida.  I have a LOT more confidence in a Boston doctor's opinion.  I am 54 years old, smoke and drink occasionally.  

The doctor suggests I have another colonoscopy in 6 months.  Do you think there is any reason for me to seek a second opinion.  I have a number of friends who have had pre-cancerous cells.  All but one have had further testing done with ensuing surgery.

Thank you.


Susan

[Kevin Pho, MD]

I cannot comment further without seeing the colonoscopy report.

The indication for surgery will depend on the size, location and number of polyps.  

If the polyp has been completely removed, a 6 month colonoscopy is reasonable.  I always would recommend another opinion if there is concern or question about the diagnosis.

These options can be discussed with your personal physician.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com

[susan4]

I have a copy of the report.  Diagnosis "polyp, sigmoid colon, snare polypectomy: tubulovillous adenoma, 1 CM, with focal high grade dysplasia.  Base of polyp appears to be free of dysplasia.  Negative for malignancy."

The procedural notes say everything normal until the sigmoid colon, where a 9 mm pedunculated polyp was found and removed with a ot snare.

[rosie526]

A related discussion, tubulovillous adenomata was started.