It would be helpful if you can send us the results of the pathological study for the removed polyps. It would be also helpful if you can inform us about any other tests done for diagnosis of your case like genetic studies.
Aadenomatous polyps are premalignant (precancerous).
It is a condition in which cells show changes which do not signify malignancy (cancer) but are potentially moving towards cancer or malignant behavior.
Consideration for those with intestinal polyp is recognized in the young, 2 or more polyps, when colonic carcinoma before 40 years, and with associated extraintestinal manifestations.
A variety of polyposis syndromes can affect the GI tract and are divided as:
- Familial inherited (autosomal dominant) or
- Non familial.
The inherited polyposis syndromes are further divided into
-Adenomatous: (like the classic familial adenomatous polyposis (FAP)). Patients usually present with polyps at age of 35. Colonic cancers usually develop in all patients with FAP within 20 years after the diagnosis.
Current recommendations for follow up include colonoscopy, and small-bowel follow-through every 2 years after diagnosis.
- Hamartomatous: (like juvenile polyposis syndrome). Family history may not be present,(is more likely to be your diagnosis).
The average age of presentation is 20 years.
Recommendations for patient with Juvenile Polyposis include an upper and lower endoscopy every year, If no polyps are seen the examinations can be done less often (every two to three years) since the risk for cancer in small although significant.
Keep us updated.
This answer does not substitute for direct medical consultation.
Dr. Safaa Mahmoud.
MB BCh, MSc Internal Medicine. MD Medical Oncology.
PhD Experimental Medicine and Biochemical Science.