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Detection and Treatment of Adenomas

What Exactly is an Adenoma?

photo of keyboard with a button for colon polyps | AdenomasAn adenoma is a tumor that is benign, not cancerous and is comprised of epithelial tissue, which is the thin layer of tissue that covers organs, glands and other internal body structures. An adenoma has glandular characteristics and can grow from many different glandular organs such as the thyroid, prostate, pituitary gland, adrenal gland and others.

These benign tumors can be formed from the small intestine, the stomach, the colon, salivary and sebaceous glands. While it is possible for benign adenomas to become cancerous, it is atypical and most adenomas remain benign. But even benign adenomas possess the potential to create health problems by putting pressure on internal systems and producing large amounts of unregulated hormones. Even adenomas that are too small to be detected by sight can still clause clinical symptoms to occur.

Here at GI North, gastroenterologists Dr. Cofrancesco and Dr. Quijano are highly experienced in routinely removing adenomas or adenomatous polyps from the colon during colonoscopy procedures and deciding on a course of treatment. Since common adenomas develop at rates that are predictable, the most common response to them is to remove them with surgery and regularly monitor the patient for any indication of further growths.

The ADR (adenoma detection rate) in colonoscopies has become increasingly important, since these routine procedures are used to remove both benign adenomas and more suspicious growths. It’s difficult to find current statistics pertaining to the results of detecting and removing adenomas during colonoscopies. But there are some numbers and facts that provide important information to you and your physicians about colonoscopies and adenomas.

The ADR is the percentage of patients over 50 years old who are undergoing a colonoscopy screening test for the first time and who have one or more adenomas found and removed during the procedure. Colorectal cancer will be present in approximately 5% of adenomas removed from the colon. Size is a reliable indicator of potential problems, since adenomatous polyps that are smaller than one centimeter (between 1/3 and 1/2 inch) have just over a 1% chance of being malignant, while adenomas over 2cm (slightly over ¾”) have up to 40% chance of being found malignant. According to a Cleveland Clinic study published in 2004, almost 40% of Americans 50 years and older harbor adenomatous polyps, but it is estimated that only 2% of adenomas will progress to cancer.

GI North is located in Cumming, GA, and serves the entire area including Dahlonega, Dawsonville, Alpharetta, Suwanee, Canton, Duluth, and Johns Creek. Dr. Simon Cofrancesco, Dr. Sergio Quijano, and their staff are committed to providing the best care possible to their patients. Dr. Quijano is fluent in Spanish, which helps makes the practice accessible to many residents of north Georgia.

Here at GI North, we pride ourselves on providing our patients with the most up-to-date tests and treatments for adenomas and accompanying issues. Anyone should feel confident here, knowing that they will be treated not only with the latest technological advancements, but with caring, personalized attention from the doctors and the staff.

© 2016 GI North Gastroenterology Services. All rights reserved.

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