DEAR DR. ROACH: I am a 73-year-old male. This year, I had a colonoscopy. They found some small polyps and one larger polyp. All polyps tested negative for cancer. I have had two previous colonoscopies in the past 10 years.…
have had two previous colonoscopies in the past 10 years. Polyps were found in each one. My gastroenterologist said I should have another colonoscopy in one year. There has been no colon cancer in my family.
ANSWER: I read your reports, which showed a total of nine polyps, all “sessile” , the largest being 8 mm. The pathology report confirmed these as tubular adenomas, none of which had the worrisome finding of high-grade dysplasia. There is no absolute age cut-off for screening colonoscopies: Age 75 might be reasonable in someone who really doesn’t want to have another and whose previous results have all been normal, but I would be very unlikely to recommend a screening exam in a person older than 85. People who have serious medical conditions outside the intestinal tract get less benefit from screening.
I’ve not seen an osteoma get as big as your grandmother’s, and I can understand why you would be concerned. It would be very reasonable to get an evaluation. An orthopedic surgeon with special expertise in bone tumors would be a good person to see, and some plastic surgeons also have expertise in removing bone tumors in such a way as to provide the best cosmetic result.
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