Many people feel a sense of fear when they hear intestinal polyps. They think that they will become cancer. Dr. Han Luzhe, deputy director of general surgery at the Third Affiliated Hospital of Southern Medical University, said that in fact, intestinal polyps are divided into tumorous polyps, non-neoplastic polyps, and Intestinal polyposis, only the former is more likely to become cancerous.
Neoplastic neoplasms include tubular adenomas, villous adenomas, and mixed adenomas. There are more patients with tubular adenomas. Compared to pedicle adenomas, squamous adenomas have a higher rate of cancer and the larger the adenomas are, The more villus components, the more likely it is to become cancerous.
Non-neoplastic polyps, including hyperplastic polyps, hamartoma polyps, lymphoid polyps, mucosal prolapse polyps, and inflammatory polyps, are less likely to be cancerous.
If there are more than 100 polyps in the intestine and there are specific clinical manifestations of intestinal polyposis, we suspect that the patient has multiple polyposis.
Symptoms of intestinal polyps include blood in the stool, changes in bowel habits, abdominal pain, etc. If the patient has intermittent bloody stools, bloody stools, bowel movements, changes in frequency, or unexplained diarrhea, constipation, etc. should be vigilant. For some people, Intestinal polyps do not have obvious symptoms. Therefore, it is advisable to perform colonoscopy for those over 40 years of age. If no intestinal polyps are found, they can be reviewed after 5 years. High-risk groups that are susceptible to intestinal polyps, including colon cancer in family members Or intestinal polyps, long-term smoking, eating high-fat and high-protein animal foods, constipation or diarrhea, should be done once a year colonoscopy for timely detection and treatment.
After the discovery of intestinal polyps, doctors generally choose treatment options according to the size, number, location and pathological nature of polyps. Regardless of benign or malignant, polyps may become cancerous over time. Therefore, as long as polyps are found, it is best to Timely cut off. Small polyps can usually be removed during colonoscopy and sent for pathological examination. Adenomas larger than 3 cm in diameter, especially villous adenomas, are usually surgically removed. If there has been cancer, according to cancerous Range, select local bowel or bowel resection.
