My husband has been having blood in his poo but was told by his GP that he’s too young to have cancer (he’s 43). He’s examined him and confirmed it was piles. His bleeding got worse and so he requested a FIT test from his GP end of June. Few days later he was referred to cancer pathway and had his first colonoscopy done on 14/7. They’ve found a large Lateral Spreading tumour near his rectum and a small polym in his colon. The report says no feature suggesting malignancy.
As the tumour was 5cm they booked him in to remove it endoscopically via ESD on 19/8. The procedure was successful and they said there’s no deep invasion. MRI and CT scan both clear.
Called in by the clinical lead a couple of days ago to discuss his biopsy results. He’s diagnosed with rectal polyp cancer T1N0M0. The procedure removed the cancer entirely but with an extremely small margin 0.2mm. Deep invasion 2.7mm. No significant tumour budding. Well differentiated. No LVI. They are worried that they might be some microscopic cancer cells left behind or spread into his nymph nodes. They said the chance of it happening is 2-5% and the consultant felt it’s less than 2% personally. They suggested that my husband should remove his rectum to eliminate risk entirely.
Our world has turned upside down since the biopsy results came back. We have an appointment with a colorectal surgeon next Thursday to go through the results properly. It’s an extremely hard decision - removing his rectum to eliminate a relatively small risk.
C
Thank you and I’m pleased for you!
Unfortunately they can’t offer chemotherapy or radiotherapy as they don’t know if there are any microscopic cancer cells in his nymph nodes. 
The consultant didn’t offer any other options apart from surgery but we will find out more from the surgeon next week when he has his outpatient appointment.
