Familial adenomatous polyposis ?

Two months ago (at age 28 ), I reported an incident of bloody stool to my physician. While this wasn't the first visual sign of blood in my stool (maybe a handful of prior incidents, none where blood and stool were separate, and none were blood appeared excessive), for a 36-hour period the stool was bright red in color and entirely liquid. Microscopic amounts of blood in the stool were observed afterwards and a colonoscopy was recommended. The doctor that performed the procedure noted in a post-op meeting that several hundred polyps were discovered (interestingly enough, this was omitted from his report).

His report stated the following: Multiple sessile polyps were found in the sigmoid/descending/transverse/ascending colon, at the hepatic flexure, and in the cecum. Polyps were 4-8mm in size and appear to be benign.



Histology report follows below:

A) Colon, cecum/asending/hepatic flexure, biopsy:
- fragments of tubular adenoma(s); negative for high-grade dysplasia
- separate fragments of colonoic mucosa with focal hyperplastic changes

B) colon, cecum/asecnding/hepatic flexure/transverse, biopsy:
- colonic mucosa with lymphoid aggregates and without significant histopathological abnormality

C) colon, splenic flexure/descending/sigmoid, biopsy:
- fragments of tubular adenoma(s); negative for high-grade dysplasia
- separate fragments of colonoic mucosa without significant histopathological abnormality

D) colon, splenic flexure/descending/sigmoid, biopsy:
- colonoic mucosa without significant histopathological abnormality

E) Rectum, biopsy:
- fragments of tubular adenoma(s); negative for high-grade dysplasia

Comments: The large number of adenomatous polyps raises the possibility of hereditary polyposis syndrome.




Additional information: neither my mom or dad (both over 70) have shown similar polyp activity in their colon and they both have had regular colonoscopies for some time now. I have 3 older brothers ranging in age from 31 to 39 and neither have exhibited any symptoms, although all were alerted to have a colonoscopy immediately since the hereditary factor here is alarming. No DNA testing seems to have been performed yet, at least it was not mentioned on the histology report. For the past year, I've noticed a higher frequency of bowel movements that have reached about 8 per day and all very solid. At no time have I ever felt urgency to relieve myself while lacking the ability to hold it in so to speak.

Obviously, I''m left a bit unsettled as to what happens next. The fear of a total colectomy is one that cannot go ignored and one that leads me to asking for additional professional guidance here. I will be meeting with a surgeon in two weeks who I imagine will go over all my options and associated effects. The negative dysplasia test results did some to comfort me, but is there anything further that I should know about?