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Adenomatous pre-cancerous polyp - 'nother scope in 3 months. Pancolitis.

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Ulcerative Colitis
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Posted 6/27/2016 8:31 PM (GMT 0)
I've had UC -pancolitis for about 10 years. 'Am a little rattled today as I got my biopsy results back and I have one of these - in the rectum.
Oddly my GI doc is one of the best in the country and he said the 5 polyps he removed earlier this week were "ok" so my mind was relieved. Imagine my shock when the results said I had this pre-cancerous one and have to go back in 3 months.

I didn't see how to do a search for same on this site so sorry if this is a dupe.

Anyone have any information on these things? Will I need surgery maybe? Yuck.
Thanks very much.

I take Delsicol - 6 a day - maybe I will add a baby aspirin to my daily regime.
Anything I can do to try to be sure it doesn't grow back in 3 months?
How about alcohol intake? I hear beer is a no no.
Posted 6/27/2016 9:34 PM (GMT 0)
I had a precancerous polyp once, but i don't remember the specifics. I had it removed and had a repeat scope and everything was fine for many years. I ended up having surgery due to my UC becoming drug resistant over time, but it had absolutely nothing to do with the precancerous polyp.

I think you're going to have to be patient. I personally wouldn't recommend taking asprin (unless it was by your doctor's direction), as it is an NSAID and it can worsen UC symptoms or trigger a flare up.

I am not sure there is any link to do with alcohol and the polyp. Beer is a no-no for UCers? or beer is a no-no for a polyp? I am not sure it has any relation to either, but of course, if you're flaring, drinking alcohol usually doesn't help anything.

I would think the best hope of it not coming back would be that he removed it with wide enough margins. Mine never came back.
Posted 6/27/2016 9:42 PM (GMT 0)
I had a precancerous adenoma about 25 years ago. I did the 3 month repeat scoping, and then went back to being scoped once a year.
I have not had any adenomas since.
The pathologist reported a serrated polyp this past fall, but that's a different thing (and it was 24 years later!)

I hope your adenoma turns out to be a sort of fluke like mine was!

I don't drink a lot, but I do enjoy some beer and wine and .... doesn't seem to be an issue (other than the bubbles causing some gas, but I don't think that has anything to do with UC.)

I wish you the best of luck!
Posted 6/28/2016 12:16 AM (GMT 0)
Thanks very much.

It means a lot from you guys, rather than on a non-specific disease forum. Scared the beejazuz out of me as my esteemed doc gave me the "ok."
Posted 6/28/2016 12:36 AM (GMT 0)
3-month followup scoping does underscore that it is potentially serious. UCers have huge colon cancer risk, and this result elevates you even further - I don't know how much.

I hope you get a clean report in 3 months.
Posted 6/28/2016 12:41 AM (GMT 0)
Hmmmph! I was just starting to relax.....now I'm worried again....
Posted 6/28/2016 2:52 AM (GMT 0)
Hey - maybe he's been super cautious because of my age - I'm 72.
Posted 6/28/2016 11:32 AM (GMT 0)
Stay away from asprin as NSAIDs are bad for us.

I enjoy a few beers per week without my uc worsening. Unless alcohol is already known to aggravate your uc symptoms then some alcohol in moderation should be fine.

Overall colorectal cancer odds are still small for uc patients, but CRC is still an elevated risk compared to the general population. "the CRC risk is 0.91/1000 py in the first decade after the diagnosis of UC, 4.07/1000 py in the second and 4.55/1000 py in the third decade. The cumulative incidence of CRC in those with extensive ulcerative colitis to be 44.4/1000 patients. These rates are considerably higher than the incidence of CRC reported in the general population. The incidence of colorectal cancer in general population ranges from 0.4/1000 py in Australia, New Zealand, USA and Western Europe."

www.medscape.com/viewarticle/823388_4
Posted 6/28/2016 12:08 PM (GMT 0)
I take Delsicol - 6 a day - maybe I will add a baby aspirin to my daily regime.

Your doctor will probably tell you to avoid OTC aspirin because it aggravates UC. The Delsicol that you are now taking is a mesalamine drug, meaning that you are now taking a salicylate which is already much like aspirin. The good news is that mesalamines are the one form of UC medication that are proven to help prevent cancer.

You might be able to strengthen cancer prevention by getting your blood levels of vitamin D checked. Vitamin D is not only helpful for UC but is also proven to help prevent all types of cancer. Try to maintain blood levels in the 40-60 ng/ml range. This is from Johns Hopkins Medicine:

www.hopkinscoloncancercenter.org/CMS/CMS_Page.aspx?CurrentUDV=59&CMS_Page_id=AB041E4B-5568-46B9-8D12-BA3959A6F3F5
The results of the meta-analysis revealed that by raising the serum level of vitamin D to 34 ng/ml, the incidence rates of colorectal cancer could be reduced by half. Even higher levels of serum Vitamin D further reduced colorectal cancer risk, as head researcher Edward Gorham, Ph.D. reported, “We project a two-thirds reduction in incidence with serum levels of 46 ng/ml, which corresponds to a daily intake of 2,000 IU of vitamin D3. This would be best achieved with a combination of diet, supplements and 10 to 15 minutes per day in the sun.”
Posted 6/28/2016 3:59 PM (GMT 0)
Iamcurious:

Why no cruciferous vegetables? I thought they were supposed to be good for us. Too much roughage?
Posted 6/28/2016 5:15 PM (GMT 0)
Everyone is different, that is just me. I have seen several others in the past several years who have trouble with food from the cabbage family but most people have no problem with it. Most people have problems with gluten and dairy, this just goes to show that any food can be a problem.

By all means eat your broccoli, etc., if you are compatible with it. It is one of the strongest foods to prevent cancer.
Posted 6/28/2016 6:30 PM (GMT 0)
Well, I did have some cauliflower last night and woke up in the middle of the night with a slight stomachache. Think it was a gas pain.
Posted 6/29/2016 1:08 AM (GMT 0)
I eat broccoli at least 3 times a week average. I think my gut is accustomed to it. I've had a little gas from brussels sprouts.

My mother in law talked about how gassy carrots are. So.. I think it's what we acclimate to. If a vegetable doesn't bother you, don't worry about it!

I also have no problems with gluten or dairy. Too much chocolate can be an issue for me, though. :-)
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