Colon Polyps: Risks, Recurrence, and Family Screening

Q: Colon Polyps: Risks, Recurrence, and Family Screening

Hello： Benign polyps come in various types, such as hyperplastic polyps, adenomas, and inflammatory polyps, all of which are classified as benign. <br>The colon can indeed undergo genetic changes due to aging, making it more susceptible to the development of polyps as one gets ol

Colon polyp issues?

Dear Dr.
Tsai,
My mother-in-law underwent a health check at around 55 years old, where 2 to 3 colorectal polyps were discovered and subsequently removed.
After continued monitoring, she developed another 3 to 5 polyps.
This year, during a follow-up examination, it was found that there were over a dozen polyps, all of which have been removed and are benign.

Could you please advise if the recurrence of colorectal polyps is likely to increase with age? Additionally, should her children undergo a colonoscopy? (My mother-in-law has a history of thyroid disease and has undergone a thyroidectomy.)
Thank you very much for your response!
Best regards,
Sally

Sally, 60~69 year old female. Ask Date: 2013/10/08

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: Benign polyps come in various types, such as hyperplastic polyps, adenomas, and inflammatory polyps, all of which are classified as benign.
The colon can indeed undergo genetic changes due to aging, making it more susceptible to the development of polyps as one gets older.
If small polyps are not removed, there is a possibility that they may eventually progress to colorectal cancer.
As for whether your children need to undergo a colonoscopy, you can consult your mother-in-law's attending physician to determine if the removed polyps are hereditary.
If they are, it is advisable for them to have a colonoscopy.
If not, they can wait until they are 50 years old to begin fecal occult blood testing for colorectal cancer screening or have a colonoscopy earlier if they experience any colorectal symptoms.
Generally, if there is a family history of colorectal cancer, it is recommended to have the first colonoscopy at age 40.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2013/10/08

More Info

Dear Sally,
Thank you for your inquiry regarding colon polyps and the implications for family screening. It’s great to see you taking an active interest in your family’s health, especially considering the history of colon polyps in your mother-in-law.

To address your first question, yes, the likelihood of developing colon polyps can increase with age. As individuals get older, the risk of polyp formation generally rises due to various factors, including changes in the intestinal lining and the cumulative effects of dietary and environmental influences over time. It is not uncommon for individuals who have had polyps removed to develop new ones, which is why regular surveillance through colonoscopy is essential.

Regarding your mother-in-law's situation, the fact that she has had multiple benign polyps removed suggests that she may be at a higher risk for developing more in the future. This condition is often monitored closely, and the frequency of follow-up colonoscopies is typically determined by the number, size, and type of polyps found. For instance, if she has had several adenomatous polyps, her doctor may recommend more frequent screenings than someone with a single small hyperplastic polyp.

As for the screening of her children, it is advisable for them to undergo colonoscopy, especially given the family history of polyps. While not all polyps are hereditary, having a first-degree relative (like a parent) with a history of polyps can increase the risk for their offspring. The general recommendation is that individuals with a family history of colorectal cancer or polyps should begin screening at an earlier age than the standard recommendation of 45 years. In many cases, screening may start at age 40 or even 10 years younger than the age at which the relative was diagnosed with polyps or cancer.

In your mother-in-law's case, since she has a history of multiple polyps, her children should discuss their screening options with their healthcare provider. They may consider a colonoscopy to establish a baseline and determine if there are any polyps present. If polyps are found, the doctor will guide them on the appropriate follow-up and monitoring schedule.

Additionally, while your mother-in-law's thyroid condition is important for her overall health, it does not directly influence the risk of developing colon polyps. However, it is crucial for her to manage her thyroid health, as overall well-being can impact her ability to undergo procedures like colonoscopy.

In summary, the recurrence of polyps can indeed increase with age, and family members should consider screening, especially given the history of polyps in your mother-in-law. Regular follow-ups and screenings are key to early detection and prevention of potential complications, including colorectal cancer.

Thank you for reaching out, and I hope this information helps you and your family make informed decisions regarding your health.

Best regards,
Doctor Q&A Teams

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