Question

I recently had a CT scan and was told there is a thickening of the wall of the distal sigmoid colon, with adjacent inflammatory changes, fat stranding, and fascial thickening. The findings suggested acute diverticulitis but said that malignancy could not be entirely excluded. I am 45 years old. What do you think the percentages could be for colon cancer? Please answer soon.

[Kevin Pho, MD]

I cannot give odds for cancer without personal examination.

However, this almost certainly necessitates a colonoscopy.  That is the best test to exclude cancer, and should be scheduled expediently.  

This should be discussed with your personal physician.

Followup with your personal physician is essential.

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