Don’t be alarmed by common small colorectal polyps

  Colonoscopy transverse colon descending colon polyp Description: My father, 77 years old, recently had slightly more frequent stools than usual, and sometimes felt a feeling of falling abdomen, then went to the gastroenterology department of Zibo Central Hospital, colonoscopy results: 70 cm into the cecum, no abnormalities, retreating microscopy seen in the transverse colon, descending colon scattered several about 0.3-0.4 cm polyp-like bulge, smooth, biopsy 3 pieces. The remaining colon and rectal mucosa were smooth with clear vascular texture. Three small mucosal mixed adenomatous polyps with active inflammation and focal lymphoid tissue hyperplasia were found in the transverse colon, with mild atypical hyperplasia of some glandular epithelium. The surgeon recommended surgery straight away.  This test is already very telling, no need to do other tests, the problem is not too big or too small, let me explain to you the colonoscopy report and pathology report. The e-colonoscopy found several small polyps in the descending colon, and 3 pathology biopsies were taken. According to the practice of colonoscopy and the size of polyps, these 3 biopsies should come from three different polyps, which also coincides with the pathology results later. One of them is a lymphoproliferative polyp, which is not a big problem and has a low malignant rate; another is an inflammatory polyp, which is better than the previous one and can even heal spontaneously; the third one has some problems, the so-called “mixed adenoma” actually refers to a tubular villous adenoma, which is currently a benign tumor. The third problem is that the so-called “mixed adenoma” is actually a tubular villous adenoma, which is a benign tumor and not too big, but according to the literature, there is about 20% malignancy rate, “mild atypical hyperplasia” corresponds to “severe atypical hyperplasia”, and “severe atypical hyperplasia “We clinically consider it to be carcinoma in situ, so it’s better to be mild at the moment. All in all, there is a problem, but it is not a big problem. Next I suggest you go to the hospital where the colonoscopy was done to further cut the currently visible polyps under the microscope will be fine, and then according to the endoscopy doctor’s opinion, you can review the colonoscopy every six months or every year.