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Cancer > Colon Cancer Forum > Colon Tumor found during colonoscopy - chances it's benign?
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Q: Colon Tumor found during colonoscopy - chances it's benign?
asked by: kjellstrom on October 28th, 2007
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I am very sad to be here posting this. My mother turned 60 yesterday and had her colonoscopy this morning - the doctor found a tumor that was too big to remove during the procedure. He took a few samples and sent it off for biopsy. He told us that just by looking at it, he is unable to tell us whether it is benign or malignant. He said it is about 4cm x 4cm (1.5 inches) and a fairly large size. Other than that, he said we'd have to wait a week for the results, and, whether they be malignant or benign, the mass would need to be removed anyway. Of course, I was crying my eyes out and my mom was so calm but I just am so scared. The doctor did not seem very optimistic - at least in my opinion.

So, her background. She has had diverticulitis off and on in her 50's and suffered with constipation her whole life. She has also had hemorrhoids but nothing too major. She has never been a drinker or a smoker and cancer does not run in our family at all that we know of. She is a just a tad overweight - maybe 10-20 pounds at most? Also, she has never had a colonoscopy before.

She has no pain, no weight loss and had a chest x-ray about two months ago for an elective cosmetic procedure - it was negative. However, she did tell me that she has had a tinge of bright red blood after a BM while wiping about three times in the past three years? So, this concerns me a bit.

Oh, and about two years ago, when she had severe pain in her left side, she went to the ER and they did a CT scan with iodine - they discovered that she had diverticulitis. Would they have seen the tumor at this point?

So, would mind helping my mom and me out with these questions? We would appreciate it so much. We would just like to know about the sizing and the real chances of this tumor being benign? Every place I look on the internet seems to have very little chance of it actually being non-malignant - why did the doctor not tell us the truth? Why can't he give us a better idea by just looking at it? If it is 4cm round, does this most likely mean that it has gone into her lymph nodes and metastasized to her liver? The fact that the findings were fungating and friable - does this point toward it being malignant more than benign? Why in the world was the doctor not frank with us about this - he wouldn't explain any of it!

I am so scared for my mom - I can't even function, she is my very best friend and I'm a complete wreck - I never thought this could happen to her in a million years - please give us any information and advice you have - we thank you so, so much!

*** Findings: In the rectum, a non obstructing, large size, fungating, friable 4cm. by 4cm. mass was seen. The mass was not bleeding.
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young Girl
replied on October 28th, 2007
Especially eHealthy
i think you should go to another dr and get a second opinion and some better information

it doesnt sound like this doctor is very considerate of whats going on and thats a big red flag.

i dont know much about tumors or any of that so i wish i could be of more help but i cant Sad
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kjellstrom
replied on October 29th, 2007
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thanks, hon. we are still waiting for the biopsy results and will then have to have the tumor removed - either way. this is making me sick. i guess its only about 2 inches up in her rectum - how could it have grown so large before anyone noticed this?!?! ugh.
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young Girl
replied on October 29th, 2007
Especially eHealthy
ugh you guys must be so frusterated! im sorry all this is happening! hang in there! it will be okay and stay strong

i will keep you and your family in my thoughts
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Woodrow
replied on November 1st, 2007
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Thanks For Posting.
Take heart. And thank you for posting here. We can help each other.

My friend has survived five years, having had Stage III colon cancer...more ominous than your situation is right now. Nowadays, even metastatic (Stage IV) patients can survive.

A 4 cm tumor sounds pretty large, to be honest, but if it makes you feel better, I recently made the acquaintance of a young woman who had a larger tumor removed from her sigmoid colon. She barely had symptoms...which itself doesn't mean much. She will need chemo, as she is "barely" Stage III.

The important thing is to get that tumor out and to appraise her lymph node involvement. If there is no lymph node involvement, then she won't even need chemo. She's cured, even if the tumor is cancerous.

I am not a medical professional, so I cannot give you "reliable" advice, but you are free to read widely on the internet about the statistics and therapies of patients like your mom. (There is comfort in statistics.) And I don't even know the difference between "benign" and "malignant," to be honest. It seems perplexing how any "benign" tumor could get large in the first place, but I suppose it's a matter of time. My friend's malignant tumor apparently grew fast...they can do that. 6 months earlier, a barium enema missed it...perhaps because such testing is inadequate...or perhaps because the tumor grew rapidly thereafter.

Please come back and tell us how this thing worked out. We will be pulling for you. And others will benefit from your experience.

Best wishes.
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Woodrow
replied on November 1st, 2007
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Risk Factors
Reviewing again your posting...of your mom's risk factors. Based on my readings 5 years ago...I'd say familial (hereditary) factors are of no consequence, anyway, in cases for a 60 year old and her relatives. There are hereditary cases that present at a young age. Google this if you care. But don't get carried away about your own risk for this disease.

The obvious biggest risk factor your mom "blew through" (unwittingly) was to NOT have a colonoscopy earlier in her life. Everyone should have this done, and age 50 is the recommended age. There is a long time window before polyps become cancerous, so that translates to a huge opportunity to eradicate colorectal cancer. Indeed, today's statistics bear this out. Colorectal cancer incidence is falling...obviously in reaction to commonality of colonoscopy.

Dr. Bert Vogelstein of John's Hopkins is the maven of epidemiology, at the molecular, genetic level, for colorectal cancer, in case you wonder how this comes about.

I have never found the "smoking gun" regarding the lifestyle cause of colorectal cancer, but I haven't looked lately. No, cheeseburgers have never been proven to cause colorectal cancer. Though the young CEO of MacDonald's did tragically die of this disease.
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kirstie1982
replied on December 3rd, 2007
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hi, i'd just like to say i was diagnosed with colon cancer stage 2 at the age of 22, i'm 25 now and am fine. The symptoms for colon cancer can be difficult. I never had a drop of blood in my stools, yet had other symptoms that could have been put down to a number of things, and the drs thought i had gastroenteritis. It was only when i had a colonoscopy they discovered a tumour which after biopsy turned out to be malignant.

I had an operation to move my whole colon (as i was so young) and had a temporary colostomy bag which i have now had reversed. I had 6 months of chemo as a precaution.

Just to say that no matter what the diagnosis, if it does turn out to be cancer, it is beatable especially if found early, i am living proof of this. So please try not too worry until you know the full facts
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rubs
replied on June 30th, 2009
New User
I too was diagnosed with stage III colon CA in 2004. Went through 6 month of chemo (Folfox) and am still actively working. However, I do feel a little lathargic these days....mabe it's the summer heat?? Oh, I'm 45 years old female. Don't worry too much. Think positive all the time. By the grace of God I am still very much alive.
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