Clinical reports below. My doctor recommends a laparascopic right
hemi-colectomy to remove the polyp completely, along with 12-18" of
ascending colon. Trying to decide whether this is a reasonable
approach. Any thoughts? Thanks!

...Steve


Operative findings 6/08: 1 cm polyp in the proximal ascending colon
just distal to the ileocecal valve. Multiple biopsies obtained,
including snare excision of the majority of the polyp as well as
biopsies with forceps. Due to the nature of the polyp, complete
removal not possible.  

Pathology Lab Report 6/08: Diagnosis, Ascending Colon Polyp: 
Tubulovillous adenoma. Microscopic Description: Sections show tubular
and elongated glands with adenomatous change without high-grade
dysplasia.  

Operative findings 6/09: At the site of the previous tubulovillous
adenoma, there was an additional polyp, approx 1 cm x 1 cm. It was
somewhat sessile and the majority of the polyp was excised using cold
snare and forceps, but some polyp appeared to be remaining.

Pathology Lab Report 6/09: Diagnosis, Ascending Colon Polyp: 
fragments of tubular adenoma, no high grade dysplasia identified.
Microscopic Description: Sections show multiple fragments of a polyp
having adenomatous change in the epithelium consisting of nuclear
basophilic hyper chromasia and stratification with mild dysplasia. 
High grade epithelial dysplasia is absent.