One of the features of polyps that developed in the organs of the digestive tract and undergone surgical removal, is the propensity to relapse. This process is expressed in the fact that after the removal of the primary diagnosed tumor a second tumor-like outgrowth begins to develop over time.
The reason for this re-growth of this mucosal pathology is for the most part the inadequate removal of the base of the benign growth that occurred due to fear of perforating the wall of the digestive organ.
The greatest likelihood of the formation of a recurrent polyp in the place of a distant tumor after some time is present in large, sedentary outgrowths. This is facilitated by the fact that the germination of their flat base in the walls of the organ occurs at the level of fairly deep layers of the epithelium.
Typically, the digestive system is characterized by a period for the occurrence of a relapse of this disease within 1-3 years after the operation. Therefore, for patients who underwent operative therapy for the removal of primary polyps, it is very important to have a preventive observation by a specialist with an annual passage of all diagnostic studies. This can reduce the risk of recurrence of the disease, and, accordingly, the development of the walls of the intestine of a malignant tumor.
But when a secondary pathology occurs in the digestive organs, it is not always a question of a truly recurrent polyp, since such a pathology in the stomach or intestine is a rather rare phenomenon. For the most part, this is the formation of a new benign education near the site of removal of the old one.
Which polyps are most susceptible to relapse?
When it comes to secondary pathology, the villous( adenopapillomatous) polyps are most likely to have this revival. According to statistics, relapses of these neoplasms occur in 25% of cases. The greatest danger is the ability of these neoplasms due to the fact that this group of tumor-like outgrowths revealed the greatest propensity to malignancy and degeneration into cancer.
Signs of malignancy( reincarnation in a malignant tumor), adenopapillomatous polyps arise mostly in the case of recurrence of this pathology. The reason for this is that many experts consider the difficulty of completely removing the base from these outgrowths.
In the majority of cases left in the deep layers of the mucosa of their cells, after an operation, atypical growth begins. Therefore, constant monitoring of a specialist is necessary after the removal of these outgrowths. Only they can be correctly identified malignant transformation of the secondary adenoma of the digestive system.
What can I do to prevent the polyp from growing again?
After the treatment of the polyp, especially one that was large enough, a colonoscopy should be performed in order to avoid recurrence of the disease in a year. Even in the event that this diagnostic study did not reveal the formation of secondary pathologies, a prophylactic examination in a gastroenterologist is recommended to be performed every 3 years.
This is necessary due to the fact that only the neoplasm itself is removed during the operation, and the cause of its occurrence is not eliminated. And, accordingly, there is a very large risk factor for the manifestation or relapse of this disease, with the formation of recurrent polyps at the site of the removed, or the appearance of new pathological processes near the site of surgical intervention.