Is CT scan and MRI straight after colonoscopy normal?

Hello,

I'm a 41 year old male whose father and parternal grandfather both died of bowel cancer at 65 and 62.

I've been passing blood routinely for some time and the local GP blood tests showed no untoward signs and didn't seem keen to engage further. 

After several occasions of haemorraging blood over the last few months I had a private medical consultation who advised he thought it was likely just haemmoroids.

I've just had a colonoscopy this morning and good news there were no haemmoroids but they did discover a 30mm polypoid lesion in the lower area which was described as friable.

They have taken biopsies and immediately booked me in for an MRI and CT scan.

Should I be worried?

Thanks in advance for any insight.

  • Hi Rich 

    I noticed you said large polyps can be cut into smaller pieces and removed and then biopsied. What happens if they don’t remove all the small pieces. What if they leave some pieces inside of you. I read that when a polyp is removed the whole of the polyp should be biopsied but if they cut the whole polyp off the colon and into smaller pieces to bring out of you but leave some of those smaller pieces inside of you to come out in your poop, that would mean some pieces wouldn’t get biopsied and those pieces could potentially be the piece or pieces that is cancerous is what I’m thinking. What would happen then? How could they tell that that one of those pieces wasn’t cancerous and hadn't spread to your lymph nodes.

     

    I hope everyone is doing well and you have all gotten your appointments and good results through.

    The covid virus has put so much on hold and it’s been so difficult on everyone and their families  having to wait for tests and appointments.

    xx

     

     

     

  • Hi [@Rich03]‍ I have had a polyp removed. It was 100mm (I haven’t got the figures wrong it really was 100mm), so pretty big. I was promised that when they removed it ( they initially thought it was 50mm) they would take all of it away to the labs and test it. However, they cut it away but only got part of it down and out, the rest being left to come down itself and there were some pretty big pieces that came down in my poop after I went home from the surgery. Anyway, ive researched Andy found lots of other ppl who had smaller polyps, diagnosed with the same kind of tubular Villanus  adenoma polyp went on to have scans immediately after surgery because their surgeon wanted to check that nothing had spread just in case some of the polyp that they didn’t get out and couldnt biopsy was cancerous. Why is my consultant not doing this for me. Ever since surgery I have absolutely no energy...and I mean no energy. It’s all I can muster to go to work for the few days that I do and then I am completely and utterly devoid of any energy. How come other ppls surgeon has given them these MRI scans to see if there’s is Althing in their lymph nodes. Its a special kind of MRI apparently and can tell if there’s is anything in the lymph nodes. Is it just that I’m I need an postcode area that doesn’t offer this service down to costs. If there’s was any cancer in the pieces that’s got away, I’m going to have waited months to find out and that could be the difference between life and death.

     

  • Hi Kadash,

     

    100mm that's a huge polyp. I understand your concerns. Following the removal of a polyp that big there should be a plan to go back in and inspect the polyp 'base' to make sure there is no polyp regrowth - I'd be surprised if there wasn't a bit of polyp left behind given the size of it. If you don't know whether you are having another appointment being arranged, it would be worth contacting the endoscopy booking team at your hospital to ask.

    A tubulivillous adenoma (TVA) is a precancerous polyp, but it isn't cancer. Occasionally the labs will find cancerous cells within the polyp, This is when people have the scans I believe you mention (staging scans) to ensure that the cancerous cells have all been removed.

     

    Your endoscopist is happy that your polyp is benign (not cancer) and that you don't need any scans.

    Endoscopists will observe for potential signs that a polyp may be cancerous while they are doing your test, so the fact they are happy should be reassuring.


    Regarding your lack of energy and extreme tiredness, it would probably be best to discuss with your GP.

    there is a risk of bleeding significantly after such a large polyp has been removed, especially if you had it done recently and you should keep an eye out for blood when you go to the toilet. 
    Hope this helps to reassure you.

     

  • Hi I was wondering if anyone could give any advice I am terrified after having my colonoscopy in which they found diverticula they took biopsies now I'm being sent for a ct scan can't help but feel that the biopsies have shown cancer I can't cope

  • Hi rich I'm jst wondering if you could give some advice on my situation I went for a colonoscopy they found diverticula but also took biopsy's now ten days later I've received a letter for a ct scan I'm terrified as they must have found cancer

  • Hi [@Rich03]‍ 

    thank you for replying. You sound extremely knowledgeable and your reply has been a great help. You were right; I am going to have a 2nd colonoscopy. The doctor thinks that the physical stress on my body (you’re not in your 20’s anymore I was reminded lol) combined with the mental anxiety and the stress from the wait for treatment during covid has contributed to my tiredness. He thinks that when I’ve had the next colonoscopy I will feel reassured (fingers crossed) and that it will help me to sleep better and hopefully reduce my tiredness. I am bearing in mind what you said that there may be some polyp left so that I don’t panick to much if they tell me there is. I’ve been told they are checking to see if it has grown back again but wonder if they find some, how will they know if it’s what has been left from before or if it’s fresh growth. I’m hoping that if there is any, hopefully every bit of it can be removed and every bit checked in the laboratory. Keep safe.x

  • Hi Nsp12,

     

    Without seeing your endoscopy report, I would only be speculating as to the reasons for your scan. Sometimes, your endoscopic may refer you for a scan if they weren't quite happy with the views they had of your bowel. In this case it would be best to contact the endoscopists secretary.

    Generally speaking, you are normally discharged with a copy of your endoscopy report. So if you have one, there should be information on there. Additionally, in endoscopy, we would normally advise you on the day of your rest if we thought we had found cancer.

     

    Sorry I can't be more help.

     

    Best wishes,

    Rich

     

  • Hi Kadash,

     

    Your endoscopist will be aware of where the polyp was removed from and will be able to see a scar from where your polyp was removed. It doesn't really matter whether any polyp tissue they see is regrowth or whether it was left behind because it will all be removed anyway. 

    I would guess that it would be much easier this time to retrieve all the polyp they remove, if they do, because it will be much smaller than the whopping polyp that was there before

     

     

  • How was a polyp of this size removed, I've a 60mm one 

  • Hi there,

    My partner just had colonoscopy and they could a polyp 25mm large in rectum. During the exam he was told they think its benign. As a result of it being large they couldnt remove it. A biopsy was taken but results arent back yet. But he has been booked for mri. Just wondering can doctors during colonoscopy recognise polyps or were they just saying they think its benign?  Just a bit worried that an mri is booked. Will we know on the day what the mri will say?