5
Results
Understanding your results
Results come in two parts. The doctor often tells you what they saw on the day. If polyps were removed, a lab looks at them under a microscope. That pathology report usually takes a few days to two weeks.
About polyps
Polyps are common, and most are not cancer. What matters is the type, how many there were, and how big they were.
- Adenomas can slowly turn into cancer over many years. Removing them lowers that risk.
- Sessile serrated polyps can also turn into cancer and are treated like adenomas.
- Hyperplastic polyps, especially small ones low in the colon, are usually low risk.
When is my next colonoscopy?
Your doctor decides, based on your results and your history. These are typical intervals for people at average risk.
| What was found | Next colonoscopy |
|---|---|
| Nothing, or only small hyperplastic polyps low in the colon | 10 years |
| 1 or 2 small adenomas (under 10 mm) | 7 to 10 years |
| 3 or 4 small adenomas | 3 to 5 years |
| 5 or more adenomas, one 10 mm or larger, or advanced features | 3 years |
| The prep was poor, or a large polyp was removed in pieces | Sooner, often within a year |
Questions to ask your doctor
- Did you remove any polyps, and what type were they?
- Was my prep good enough?
- When should I have my next colonoscopy?
- Does this change anything for my family members?