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Intramucosal andenocarcinoma
Good evening Doctor. I had intramucosal adenocarcinoma of the rectum about 9 years ago, arising from a tubulovillous adenoma (2 × 2 cm), moderately differentiated, with no invasion beyond the muscularis mucosa. Only polypectomy was done, and no further treatment was required. The report showed MSI negative / MMR proficient. At that time MRI pelvis and CT scan were normal, and post-polypectomy site biopsy showed no dysplasia or malignancy. Follow-up done regularly: • Colonoscopy – about 10 times, all normal (last on 12 November 2025) • USG whole abdomen – 10 times, all normal • Blood tests – about 6 times, normal • Chest X-ray (PA) – 4 times, normal Kindly advise the appropriate interval for future surveillance colonoscopy. Also, if a new polyp appears in future, would it necessarily be malignant in my case, or usually benign? . Kindly send your advice by SMS when convenient. Thank you.
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For early disease and after 9 yrs of repeated colonoscopy , it is sufficient to be on regular check up and colonoscopy only if he develops any symptoms appear. Any new polyps needs to be evaluated independently and can't be termed malignant or benign based on past history alone
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Question sent wrongly to me. I am pediatric oncologist
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.