Rectal Multiple Polyps Measuring 0.2-0.3 cm – Is Surgery Necessary?

When a patient is diagnosed with rectal polyps, the first step is to carefully evaluate the condition and characteristics of the polyps. The rectum, which is the final section of the large intestine, connects the sigmoid colon to the anus and plays a crucial role in waste elimination.

Understanding Rectal Polyps

Rectal polyps are abnormal growths that protrude from the mucosal lining of the rectum. These growths can be either singular or multiple. In cases of multiple polyps, an endoscopic examination should thoroughly document their origin, size, shape, surface texture, color, smoothness, and whether they are ulcerated, eroded, bleeding, or pedunculated. The number of polyps is also a key factor in determining the appropriate course of action.

When Surgery is Necessary

If the medical evaluation suggests that the polyps have a potential for malignancy, surgical intervention is strongly recommended. This is especially important in preventing the development of more serious conditions such as colorectal cancer.

Benign Polyps and Treatment Options

In cases where a colonoscopy reveals rectal polyps that appear benign after pathological analysis, these are typically classified as inflammatory, hyperplastic polyps, or low-grade intraepithelial neoplasia. In such cases, simple removal of the polyps during the colonoscopy is usually sufficient.

High-Grade Neoplasia and Cancerous Polyps

However, if the pathology report indicates high-grade intraepithelial neoplasia, which is considered a precancerous or cancerous lesion, then more aggressive treatment is necessary. In these situations, surgical removal of the affected portion of the rectum may be required to prevent the spread of cancer and ensure long-term health outcomes.