Early formation of polyps

The mucosa tends to look more granulatous with prolonged inflammation-- so that bumps can develop that do not turn into true polyps. Then, again, even when true polyps do show up, the experienced gastros are more concerned about what type they are, which has bearing on their potential for turning malignant. The so-called hyperplastic polyps look yucky if you see them on the colonoscopy monitor, like multiple conjoined blobs, but they do not carry the risk for malignancy that flat lesions can. Some polyps look like Hershey's kisses; other may grow a stem & look like a toadstool. The idea is to monitor them regularly so that they can be snipped off thru the c-scope while still small. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.]) P.S. I've had 4 of the bumpy kind removed at different times; 2 developed early on in my UC career, then I was clear for 18 yrs, had a hyperplastic removed in 2001 & another in 2006, after nothing at c-scope in between those yrs. I've heard from another longtime UCer that she has dozens of tiny polyps throughout her colon, which her gastro just biopsies annually but otherwise leaves them in place. Hope these examples will be helpful to you!

Post Edited (Old Hat) : 4/7/2008 9:42:03 PM (GMT-6)

Right, Paul. When my doctor reported the 1st two polyps in early 1980s, I asked a cousin of mine who was a doctor in family practice what to do about them. He advised that they require surveillance, but do not usually need to be removed immediately, especially if the tissue surrounding them is badly inflamed, which mine was at that time. / Old Hat

they found one in my colonoscopy last friday and GI said the same thing, that it was most likely inflammatory. I meet w/him next week to go over the biopsy and colonoscopy.

thanks for shedding some light on the issue Old Hat and Eva Lou

---

Beth, 32 ~ Major Flare Sept/Oct 07 ~ in remission

UC dx'd 03/00 (Proctosigmoiditis); Pancolitis since 09/07

Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Prilosec, Probiotics.

Minimal Change Disease (Kidney Disorder) dx'd 09/07 - partial remission since 03/08

Prednisone 25mg 1xday (taper 5mg a week from 60 = ), Simvastatin 20mg 1xday, Diovan 160mg 2xday. Enalpril 10mg 1xday, Fursomide 20mg 1xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs.  Do you have edema? If so, check your protiens!

Pre-Diabetic from Prednisone use - Low carb/sugar diet & exercise.

I just received the following in an email from my GI:

“Biopsies showed that the polyps were inflammatory - i.e. related to the colitis.”

---

Paul

Diagnosed in 2000 at age 43 with UC extending half way across transverse colon.
Allergic reaction to Asacol, Pentasa and Dipentum - can’t take any more 5ASAs.
Prednisone - worked well for 1 month, then side effects became unbearable.
6-MP - blood tests showed not metabolizing properly.
Corticosteroid enema, Flagyl, Ciprofloxin, VSL#3, Adacolumn Apheresis – no effect
Methotrexate with Remicade - 7 infusions with no improvement

Folic Acid and B12 injections.

Currently in Abatacept trial - waiting for remision

Visit our photo albums at: http://www.laflammefamily.ca and http://www.more.laflammefamily.ca