Background:. Colonoscopy withdrawal times are a critical element in determining quality of colonoscopy; however, few studies have evaluated specific factors that may influence the duration of withdrawal, and specifically short withdrawal times. Other factors affecting polyp detection rate, one element of quality of colonoscopy, also need further study.. Objective:. To identify factors associated with withdrawal time, inappropriately short withdrawal times, and polyp detection rate during colonoscopy.. Design:. Data were prospectively collected (05/08-06/09) on 802 colonoscopies conducted by 9 blinded endoscopists, including patient age and sex, indication, colonoscope insertion and withdrawal time, biopsies performed, number/size of polyps and method of resection, bowel preparation quality, time of day, day of week, endoscopist, position of the procedure within the endoscopists slate, and call status of the endoscopist.. Setting:. This study was conducted at a single tertiary care hospital, St. ...
TY - JOUR. T1 - RNF43 Is an Early and Specific Mutated Gene in the Serrated Pathway, With Increased Frequency in Traditional Serrated Adenoma and Its Associated Malignancy. AU - Tsai, Jia Huei. AU - Liau, Jau Yu. AU - Yuan, Chang Tsu. AU - Lin, Yu Lin. AU - Tseng, Li Hui. AU - Cheng, Mei Ling. AU - Jeng, Yung Ming. PY - 2016/6/14. Y1 - 2016/6/14. N2 - RNF43 is an E3 ligase that suppresses the Wnt/β-catenin signaling pathway and is frequently mutated in microsatellite-unstable colorectal carcinoma. To investigate the pathogenetic role of RNF43 in the serrated pathway, we conducted mutation analysis of RNF43 in several types of colorectal neoplasms. RNF43 mutation was found in 2 of 20 (10%) sessile serrated adenomas, 10 of 36 (28%) traditional serrated adenomas, 7 of 37 (19%) traditional serrated adenomas with cytologic dysplasia, and 9 of 31 (29%) BRAF-mutated/microsatellite-stable colorectal carcinomas; however, no mutation was found in 30 tubulovillous/villous adenomas. All mutations were ...
A colonic polyp is a protrusion in the lining of the bowel caused by an abnormal production of cells. It may be a tiny raised area; it may look like a grape or take the form of many tiny projections clustered together. Polyps are very common (occurring in 15-20% of the population) and most are not cancerous. Polyps should be removed if found as some may eventually (over many years) become a cancer in the colon (large bowel) or rectum (back passage).. Symptoms of colonic polyps. Most people are unaware of having polyps as they usually produce no symptoms and are often an incidental finding. Some polyps can however cause rectal bleeding or an excess production of mucus (slime) with bowel motions. Polyps are usually found as a result of bowel investigations - such as a sigmoidoscopy or barium enema. If they are found colonoscopy is required to view the whole of the large bowel and remove the polyp(s).. Treatments for colonic polyps. The most common method of removal is by:. ...
The teams analyses included 5433 participants with 2 colonoscopies. The researchers used multivariable logistic regression models to assess effects of index serrated polyps, high-risk adenomas, low-risk adenomas, and no adenomas on subsequent high-risk adenomas or large serrated polyps on surveillance colonoscopy. Synchronous serrated polyps, within each index risk group, were assessed for size and by histology. Serrated polyps comprize hyperplastic polyps, sessile serrated adenomas/polyps, and traditional serrated adenomas. The doctors referred to sessile serrated adenomas/polyps and traditional serrated adenomas collectively as STSAs.. High-risk adenomas and synchronous large serrated polyps, high-risk adenomas with synchronous STSA, and high-risk adenomas alone at index colonoscopy significantly increased the risk of metachronous high-risk adenomas compared to the reference group. Large index serrated polyps alone or index STSA alone significantly increased the risk of a large metachronous ...
TY - JOUR. T1 - Leaving distal colorectal hyperplastic polyps in place can be achieved with high accuracy by using narrow-band imaging. T2 - An observational study. AU - Hewett, David G.. AU - Huffman, Melanie E.. AU - Rex, Douglas K.. PY - 2012/8/1. Y1 - 2012/8/1. N2 - Background: Accurate colonoscopic assessment of colorectal polyp histology could avoid resection of distal nonadenomatous polyps and reduce costs and risk. Objective: To assess the accuracy of predicting histology by using narrow-band imaging (NBI) in real time for distal colorectal polyps. Design: Prospective observational study. Setting: University hospital and ambulatory surgery center. Patients: This study involved 225 consecutive adults undergoing elective screening or surveillance colonoscopy. Intervention: We evaluated real-time histology of 235 distal (rectosigmoid) colorectal polyps from 31 patients by using high-definition colonoscopy and NBI without optical magnification. For each polyp, the endoscopist described size, ...
TY - JOUR. T1 - Ultraviolet laser-induced fluorescence of colonic polyps. AU - Schomacker, Kevin T.. AU - Frisoli, Joan K.. AU - Compton, Carolyn C.. AU - Flotte, Thomas J. AU - Richter, James M.. AU - Deutsch, Thomas F.. AU - Nishioka, Norman S.. PY - 1992. Y1 - 1992. N2 - Ultraviolet laser-induced fluorescence was examined in vivo to determine whether the technique can reliably distinguish between hyperplastic and adenomatous polyps of the colon. Spectra from 86 normal colonic sites, 35 hyperplastic polyps, and 49 adenomatous polyps were recorded in vivo. Polyp type was independently determined by two senior pathologists who were unaware of the fluorescence measurement. A multivariate linear regression analysis was used to differentiate spectra from hyperplastic and adenomatous polyps and resulted in a sensitivity, specificity, predictive value positive, and predictive value negative for identifying adenomatous polyps of 86%, 80%, 86%, and 80%, respectively. These values were not significantly ...
What puts someone at risk for developing colon polyps? This is something that can develop in anyone; however, you may be more likely to deal with polyps if you are over 50 years old, you have a family history of colorectal cancer or polyps, youve been diagnosed with inflammatory bowel disease (e.g. Crohns disease; ulcerative colitis) or you are obese. Those who smoke or have uncontrolled type 2 diabetes are also at risk.. How are colon polyps detected? The most common procedure used to detect and remove polyps is a colonoscopy. This procedure is performed right here in our office under conscious sedation. Once the sedation has taken effect, we will guide the scope into the rectum and through the colon. If polyps are detected during the procedure, we also have special tools that can be inserted into the scope to remove the tissue. Most colonoscopies take anywhere from 20-30 minutes but may take longer if we need to remove polyps.. If you have questions or concerns about colon polyps, or if you ...
Introduction Knowing if polyps are larger than 10mm is critical when determining colonoscopic surveillance strategies. Judging polyp size from the endoscopic view alone becomes important if polyps are not retrieved intact. Strategies based on deliberately discarding small polyps rely on accurate discrimination of polyp size but little is known about endoscopists ability to make this judgement. Our aim is to assess the accuracy of polyp size estimation using a novel in vitro model, comparing different professional groups and use of accessories to improve estimates. ...
TY - JOUR. T1 - High colonoscopic prevalence of proximal colon serrated polyps in average-risk men and women. AU - Kahi, Charles J.. AU - Li, Xiaochun. AU - Eckert, George J.. AU - Rex, Douglas K.. PY - 2012/3/1. Y1 - 2012/3/1. N2 - Background: Proximal colon serrated polyps likely contribute to the decreased protection of colonoscopy against right-sided colorectal cancer. Objective: To estimate the prevalence and extrapolated detection rate of proximal serrated polyps at screening colonoscopy. Design: Retrospective study. Patients: The study involved secondary analyses that used two databases. The first includes screening colonoscopies performed by 15 attending gastroenterologists at two academic endoscopy units between 2000 and 2009. The second includes average-risk patients who had previously participated in a randomized trial comparing high-definition chromocolonoscopy and white-light colonoscopy. Main Outcome Measurements: Prevalence of proximal serrated polyps found by the highest-level ...
TY - GEN. T1 - Automatic polyp detection from learned boundaries. AU - Tajbakhsh, Nima. AU - Chi, Changching. AU - Gurudu, Suryakanth R.. AU - Liang, Jianming. PY - 2014/7/29. Y1 - 2014/7/29. N2 - Colonoscopy is the primary method for detecting and removing polyps-precursors to colon cancer, but during colonoscopy, a significant number of polyps are missed-the pooled miss-rate for all polyps is 22% (95% CI, 19%-26%). This paper presents an automatic polyp detection system for colonoscopy, aiming to alert colonoscopists to possible polyps during the procedures. Given an input image, our method first collects a crude set of edge pixels, then refines this edge map by effectively removing many non-polyp boundary edges through a classification scheme, and finally localizes polyps based on the retained edges with a novel voting scheme. This paper makes three original contributions: (1) a fast and discriminative patch descriptor for precisely characterizing image appearance, (2) a new 2-stage ...
Results Seen in 83 men and 65 women ranging in age from 32 to 89 years and 127 were left sided with 22 in the right colon. Seventy-eight of the 149 TSAs showed evidence of another polyp (52.34%): 32 were low-grade tubular/tubulovillous adenomas (TAs/TVAs; 41%), 28 were HPs (36%) and 18 were SSAs (23%). Eleven of the 22 right-sided TSAs were associated with a precursor lesion (1 HP and 7 SSA). In addition, five TSAs showed more than one polyp type: TSA with TA/TVA and HP (3); TSA with TA/TVA and SSA (2). The TAs/TVAs were adjacent to the TSA but occurred as a separate discrete polyp, while HPs and SSAs were intermingled with the TSA and present at the base and surface of the lesion.. ...
A technique for lectin-peroxidase histochemistry was adapted for the study of formalin fixed paraffin embedded colonic tissue. Ten lectins with differing carbohydrate binding specificity were tested against 20 normal rectal biopsy specimens and tissue from 19 colonic carcinomata, 19 tubular or tubulovillous adenomata, and 19 hyperplastic polyps. None of the normal rectal biopsy specimens bound the lectins peanut agglutinin (PNA), Griffonia simplicifolia II (GSII), and Ulex europaeus I (UEAI), whereas 18 carcinomata, 12 adenomata, and 18 hyperplastic polyps showed affinity for one or more of these lectins. Hyperplastic colonic polyps are shown to possess similar abnormalities in glycoprotein structure to malignant and adenomatous colonic tissue. This may simply indicate a non-specific reaction to changed rates of cell proliferation but might represent a more fundamental association between hyperplastic polyps and adenocarcinomas.. ...
Early detection of colon polyps is important since most colon cancer develops slowly from colon polyps. The first step in diagnosing colon polyps and colon cancer is a good evaluation.
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Colonoscopy is the gold standard screening test for colorectal cancer. Removal of pre-malignant colon polyps during colonoscopy reduces colorectal cancer mortality by over 50%. However, while colonoscopy is highly effective at preventing distal (left sided) colon cancers, it provides only limited protection from cancer in the proximal (right side) colon. Our goal is to determine if additional pre-cancerous colon polyps can be identified by looking at the right side of the colon in retroflexion. During retroflexion the tip of the colonoscope is turned 180 degrees; allowing the doctor to view the backs of colonic folds. If additional polyps can be identified in this manner colonoscopy will become a more efficient method of screening for colon cancer.. In order to evaluate how effective right colon retroflexion is at detecting polyps in the proximal colon we plan on performing a randomized, controlled trial. Patients undergoing screening or follow up colonoscopy will be invited to participate in ...
TY - JOUR. T1 - Laser applications to colonic polyp and cancer ablation.. AU - Burt, R. W.. AU - Hunter, J. G.. AU - Bowers, J. H.. AU - Dixon, J. A.. PY - 1988. Y1 - 1988. UR - http://www.scopus.com/inward/record.url?scp=0023721028&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0023721028&partnerID=8YFLogxK. M3 - Review article. C2 - 3054933. AN - SCOPUS:0023721028. VL - 279. SP - 71. EP - 77. JO - Progress in Clinical and Biological Research. JF - Progress in Clinical and Biological Research. SN - 0361-7742. ER - ...
Care guide for Colonoscopic Polypectomy (Inpatient Care). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
Care guide for Colonoscopic Polypectomy (Discharge Care). Includes: possible causes, signs and symptoms, standard treatment options and means of care and support.
Colon polyp. Coloured 3D computed tomography (CT) scan of a pedunculated (stalked) polyp in the colon (large intestine) of a patient. Polyps are benign (non-cancerous) growths that arise from mucous membranes. Although benign, polyps are generally removed surgically as their growth may obstruct the passage of food, and some polyps may turn cancerous over time. - Stock Image C026/9026
Background The aim of this study was to establish if endoscopists can reliably self-assess their ability to perform simulated colonic polypectomy. Methods Novices, intermediates, advanced, and experts performed a video-recorded polypectomy task using the Welsh Institute for Minimal Access Therapy (WIMAT) colonoscopy suitcase simulator. This involved removal of a simple polyp (A) and a complex polyp (B). Participants self-assessed themselves using a Direct Observation of Polypectomy Skills (DOPyS) assessment form. Two blinded, independent, Joint Advisory Group on Gastrointestinal Endoscopy (JAG) accredited assessors graded each performance using the same DOPyS scoring. The Spearman coefficient was used to determine the correlation between self and assessors scores. Results Eighty participants completed the task. There was a weak correlation between assessors scores and self-assessment scores for all groups (novices: ρ = −.44, P = .85; intermediates: ρ = −.16, P = .51; advanced: ρ = .16, ...
Results: Seven patients were recruited (five male; mean age 66 years). Polyps were from 20 to 50mm in diameter (mean 30mm), six were in the right colon, and three were on the mesenteric border of the bowel. Final pathology was benign in all cases. Mean EMR time was 29 minutes, mean time taken for TAS was 37 minutes, and mean total operative time was 129 minutes. Two TAS procedures required conversion to LC (one unresectable polyp and one device failure). Five TAS procedures were completed, with a mean hospital stay of 1.2 days, and no complications. Follow-up colonoscopy revealed complete healing in all cases, with no recurrence of polyp to the current time. One patient (initial 5cm sigmoid polyp) had a very mild asymptomatic stricture in the sigmoid colon ...
Colon polyps in children - Are colonic polyps common in children? - Answered by top .... Bowtrol is formulated to maximize ones elimination without causing loose stools or uncomfortable cramping.
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AIM: To examine the efficacy and complications of colonoscopic resection of colorectal polypoid lesions. METHODS: We retrospectively reviewed 1354 polypectomies performed on 1038 patients over a ten-year period. One hundred and sixty of these were performed for large polyps, those measuring ,= 20 mm. Size, shape, location, histology, the technique of polypectomy used, complications, drugs assumption and associated intestinal or extra intestinal diseases were 2 analyzed. For statistical analysis, the Pearson chi(2) test, NPC test and a Binary Logistic Regression were used. RESULTS: The mean patient age was 65.9 +/- 12.4 years, with 671 men and 367 women. The mean size of polyps removed was 9.45 +/- 9.56 mm while the size of large polyps was 31.5 +/- 10.8 mm. There were 388 pedunculated and 966 sessile polyps and the most common location was the sigmoid colon (41.3%). The most frequent histology was tubular adenoma (55.9%) while for the large polyps was villous (92/160 -57.5%). Coexistent ...
Canadian Journal of Gastroenterology and Hepatology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of gastroenterology and hepatology. The journal welcomes submissions related to the medical, surgical, pathological, biochemical, and physiological aspects of these subject areas.
TY - CHAP. T1 - The Effects of Preprocessing on Colorectal Polyp Detecting by Fuzzy Algorithm. AU - Sziová, Brigita. AU - Nagy, Szilvia. AU - Kóczy, László T.. PY - 2021. Y1 - 2021. N2 - In the following study the effects of two image preprocessing methods, namely Gaussian filtering and Wiener filtering, is studied on the results of a fuzzy inference method previously developed by the authors, for determining whether a colonoscopy picture segment contains any colorectal polyp. As earlier results show that less blurry, less compressed and less noisy images tend to be better classifiable, the effects of noise suppression with a Gaussian filter, which makes the images also blurrier, was beneficial on noisy, compressed images, and rather maleficent in good quality pictures. The effects of the Wiener filter, which both decreases noise and enhances edges, did not really manifest in classification improvement.. AB - In the following study the effects of two image preprocessing methods, namely ...
Hyperplastic polyps of the colon are common benign lesions. They frequently arise at the crest of a mucosal fold where they present as small, sessile polyps usually measuring less than 5 mm in diameter with a smooth convex surface.1 Although traditionally regarded as non-neoplastic, recent evidence has shown hyperplastic polyps to have molecular features of neoplasia.2 Histologically they have a very characteristic appearance of elongated crypts with prominent epithelial infoldings giving a pathognomonic serrated pattern. The majority of hyperplastic polyps occur in the rectosigmoid where they may be single or often multiple; however their numbers rarely exceed 10.1 The occurrence of multiple or large hyperplastic polyps in the large bowel is termed hyperplastic polyposis coli.1 3 4 Hyperplastic polyposis coli is a rare condition characterised by the presence of large multiple hyperplastic polyps, some of which may show dysplasia, an occurrence that is felt to contribute significantly to the ...
Colon Polyps A colon polyp is a growth of extra tissue in the lining of the rectum or colon. While some can be cancerous, most are not. However, almost all colon cancer does begin as a polyp. Therefore, by removing polyps early, the chances of it growing into colon cancer are eliminated. People with a higher risk for developing polyps are anyone over age 50, those who have had polyps previously or those who have a family history of polyps or colon cancer. However you can still be at risk for polyps or colon cancer without having a family history of either condition. In fact, 80 percent of those who are diagnosed with colon cancer have no family history. Polyps generally do not cause symptoms. If a patient does have symptoms, they can include blood in their underwear or on toilet paper after a bowel movement, blood in stool, or constipation or diarrhea that has lasted more than a week. Polyps can be removed during a colonoscopy. If precancerous colon polyps are removed, the chance of the polyp ...
Colon Polyps A colon polyp is a growth of extra tissue in the lining of the rectum or colon. While some can be cancerous, most are not. However, almost all colon cancer does begin as a polyp. Therefore, by removing polyps early, the chances of it growing into colon cancer are eliminated. People with a higher risk for developing polyps are anyone over age 50, those who have had polyps previously or those who have a family history of polyps or colon cancer. However you can still be at risk for polyps or colon cancer without having a family history of either condition. In fact, 80 percent of those who are diagnosed with colon cancer have no family history. Polyps generally do not cause symptoms. If a patient does have symptoms, they can include blood in their underwear or on toilet paper after a bowel movement, blood in stool, or constipation or diarrhea that has lasted more than a week. Polyps can be removed during a colonoscopy. If precancerous colon polyps are removed, the chance of the polyp ...
Sessile serrated adenoma (SSA) is a polyp of the large intestine, which was first described in 1996. It presents as a solitary lesion or in a setting of a polyp...
Scheduled for a colonoscopy? Ask your physician to play Mozart while shes peering through that endoscope, and she may do a better job of detecting potentially cancerous polyps in your colon and rectum, called adenomas. Colonic polyps are common precursors to colon cancer. Adenomas are a type of polyp that may develop into invasive colorectal cancer. Adenocarcinoma of the colon is the most common form of colorectal cancer.
What is the best diagnostic test to use in the workup of rectal bleeding and other gastrointestinal symptoms? To the old debate between barium enemas and colonoscopy (1) can now be added a new modality, hydrocolonic sonography. Although conventional transabdominal ultrasonography has not proved useful in the evaluation of large bowel neoplasia, the instillation of water in the colon is a clever innovation. Limberg has previously shown its efficacy in the diagnosis of inflammatory bowel disease (2). The article by Limberg is an update of an earlier study by this investigator (3), confirming its efficacy in diagnosing colorectal neoplasia in a series of apparently typical patients referred for colonoscopy. It almost equals the sensitivity of colonoscopy in identifying carcinomas and large polyps. Its real competition, however, is with barium enemas, with which it has comparable efficacy, but hydrocolonic sonography avoids radiographic exposure and adds the ability to evaluate the bowel wall and ...
Semantic Scholar extracted view of [Endoscopic polypectomy in malignant colorectal adenoma. Review of our cases and therapeutic considerations]. by Fernando Borda et al.
A polyp is a general name for a benign warty growth of the lining of any organ. If the growth arises from the large bowel or colon it is a colonic polyp. Find out about the types of colonic polyp.
In patients with chronic colitis who have no dysplasia in flat mucosa, colonoscopic resection of dysplastic polyps can be performed effectively, just as in noncolitic colons.
A: Colonic polyps are collections of cells arising and protruding from the inside lining of the colon. About two-thirds of colonic polyps are benign tumors (non-cancerous adenomas), most others being hyperplastic tissue (abnormal proliferation of cells) or other benign growths.
The colon is an important part of the digestive system. It is the last portion of this complex system, responsible for the important extraction of salt and water from solid waste, prior to excretion. The human colon consists of four sections. They are identified as the rising, transverse, coming down, and the sigmoid segments. The development of polyps or abnormal tissue development within the colon is commonly observed in people who are overweight. Colon polyps are also observed in people who extensively enjoy smoking, a diet plan that is high in fat and low in fiber, as well as those who have a family history of the condition ...
Wani, S. B., Hovis, C. E., Geisman, T., Kanuri, N. D., Kushnir, V. M., Mullady, D., ... & Azar, R. R. (2011). Tu1454 Safety of Endoscopic Mucosal Resection (EMR) of Large Sessile Colon Polyps: Size and Location Matters. Gastrointestinal Endoscopy, 73(4), AB415 ...
What happens after colon polyp removed - I have a colon polyp that needs to be removed surgically what is the process? Your doctor will exp. I am sure your doctor would be happy to explain. Surgical removal means an operation to remove the polyp. There are two types of operation: open surgery or laparoscopic surgery (this one is a mini operation with smaller cuts as compared to open surgery which is a bigger cut). But talk it over with your surgeon.
Results A total of 1438 colonoscopies were reviewed. Polyps were found and removed in 314 (22%). Only 205 were included in further analysis. The remaining 109 were excluded because further follow-up indication was based on different issues (12 IBD, 19 colon cancers, 34 technical problems, 21 unknown previous risk status, 23 referred for surgery). Of the included 205, 34 patients were given an appointment in 1 year (high risk), one in 2 years, 28 in 3 years (intermediate risk), 142 in 5 years or no follow-up (low risk). The follow-up indication was compliant with BSG guidelines in 136 (66.3%) cases. In 33 (16.1%) patients the follow-up appointment was scheduled too early and in 4 (2%) too late. The remaining 32 (15.6%) were booked for later decision in outpatient clinic. They belonged to the intermediate (No.=28) and high (No.=4) risk groups. Overall, in the 3-months period, 24 inappropriate colonoscopies and 32 extra outpatient appointments were scheduled for the following year alone. In a ...
The doctors at CRSA are trained in colonoscopy and other procedures, designed to detect colon polyps and cancers. Contact us in Baltimore today.
Colonoscopy is the gold standard screening test for colorectal cancer. Removal of pre-malignant colon polyps during colonoscopy reduces colorectal cance
Learn more about Colon Polyps at Doctors Hospital of Augusta DefinitionCausesRisk FactorsSymptomsDiagnosisTreatmentPreventionrevision ...
SAN DIEGO - A colonoscopy capsule that requires no bowel preparation safely detected pedunculated and sessile polyps as small as 7 mm in a feasibility study of
The familys details are as follows:; Proband Dx uterine cancer 57y, IHC loss of MSH6 + MSH2, MSH6 variant identified (attached report); Probands sister Dx CRC 29y, IHC weak expression of MSH6, MSH6 variant identified; Three other sisters; one has annual cy and has had TAH/BSO (unknown mutation status), one reports having a number of adenomatous polyps removed with one of a larger size (currently chasing confirmation in order to perform IHC and patient has consented to have testing for the variant); Update: One sister has been found to have the MSH6 variant; she has a PHx of multiple polyps. Confirmed she has had at least 4 adenomas and 7 hyperplastic polyps since age 32y. ; Update: One sister has been found to be negative for the variant; she has been having annual colonoscopies and reports a couple of small polyps have been found during this time. We have been able to access her most recent colonoscopy finding a 2mm TA at 55years of age.; Mother Dx CRC 67, IHC loss of MLH1 + PMS2, BRAF wild ...
On this day in History, Reagans doctors discover possibly cancerous colon polyp on Jul 13, 1985. Learn more about what happened today on History.
Dr. Hemming responded: Yes/No. Adenomas which are dysplatic polyps that increase the risk for |a href="/topics/colorectal-cancer" track_data="{
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Colon cancer may occur in people with colon polyps, a condition that may lead to cancer. To diagnose colon cancer, your doctor may recommend a colonoscopy,...
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