Presentation
A patient in their 50s with a family history of colon cancer and subtle change in bowel habit, anxious about screening.
Investigations
Given the family history, a screening colonoscopy was advised despite minimal symptoms.
Operative Findings
A flat, broad-based polyp was identified in the colon — exactly the kind of lesion that can silently progress to cancer over years.
Surgical Strategy
Rather than just biopsy and wait, the polyp was removed completely in the same sitting (polypectomy), avoiding a second procedure.
The Procedure
The polyp was lifted and excised endoscopically in full, with clear margins, during the same colonoscopy.
Outcome
Pathology confirmed a pre-cancerous lesion removed completely — a cancer prevented.
Follow-up
A surveillance schedule was set so any future polyps are caught equally early.
Screening colonoscopy does not just find cancer early — by removing polyps, it can stop cancer from ever developing.
Super-specialist GI, bariatric & cancer surgeon. SGPGIMS (India's premier GI centre) + advanced training in Japan & South Korea. Read full profile →
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Frequently asked questions
Removing pre-cancerous polyps during a screening colonoscopy prevents most colon cancers, making screening from age 45 highly effective.
A lasting change in bowel habit, blood in the stool, unexplained anaemia, abdominal pain or weight loss should always be assessed.
Yes. Laparoscopic colon surgery is now standard in many cases, offering smaller scars, less pain and a quicker recovery with equal cancer outcomes.
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