What is Adenoma?

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An adenoma is a benign tumor that has a glandular origin. Adenomas typically originate from cells used for secretion. Called epithelial cells, these cells are located throughout the body. However, only a portion of such cells is used for secretion. An adenoma forms when normal epithelial cells grow excessively.

Epithelial cells that are used for secretion make up specific parts of the body referred to as glands. Glands have the job of forming a number of substances in the body including, but not limited to, sweat, saliva, breast milk, mucous, and hormones. An adenoma can form from just about any glandular cell in the body.

An adenoma may form in a similar way to a malignant or cancerous tumor. A major difference between malignant tumors and adenomas is that adenomas do not metastasize or spread to other organs or tissues. Sometimes, however, adenomas develop into malignancies. When this happens, the newly malignant adenoma is called an adenocarcinoma.

Though it is possible for some adenomas to develop into cancerous tumors, having an adenoma is not usually predictive of the development of a malignancy. Most adenomas remain benign and do not form carcinomas. However, colon and rectal cancers may begin as adenomas. Additionally, bronchial adenomas can develop into lung cancer.

Frequently, adenomas have a noticeable affect on the organs or gland tissue in which they develop. Often, adenomas secrete hormones. When this occurs, the effects can be quite uncomfortable for the affected individual. In certain situations, the effects can even be deadly. However, some adenomas develop without any demonstrable effects.

There are certain types of adenomas that are more common in women, such as adenomas of the liver. Others, such as colon adenomas, are most common in adults of advancing age. The cause of adenomas is not yet known.

There are some things that seem to make developing adenomas more likely. For example, women who use oral contraceptives may be at increased risk of developing liver adenomas. Furthermore, certain types of adenomas may be inheritable. This is true of colon adenomas.

Symptoms related to adenomas vary widely. For example, a breast adenoma, called a fibroadenoma, typically causes no symptoms and may be so small that the affected individual is unable to detect it. Other breast adenomas, however, may be large enough to be noticeable by touch. By contrast, a lung adenoma can cause fever, chills, shortness of breath, and a bloody cough.

Adenomas are diagnosed using a variety of techniques, including the collection of blood and urine samples, ultrasound imaging, computed tomography (CT) scanning, and magnetic resonance imaging (MRI). Biopsies are typically employed to determine whether the tumor is benign or malignant. Treatment usually involves removal of the adenoma, although medication may be used to treat symptoms as well.

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7
I was diagnosed with a liver adenoma about 3 years ago. Since I wanted to have kids I decided to have it removed with a liver resection. I had a laparoscopic resection done in 20007 and have had no issues since then. I got pregnant in late 2007 and other than a few pains in my side, which is to be expected with all the nerves healing, I had no other issues. I had a follow up CT scan done after my baby was born in 2008 and my surgeon said that everything looked perfect with my liver, other than the line through it where they cut the adenoma out and stitched it back up. I highly recommend having the resection done, it gave me so much peace of mind throughout my pregnancy and later in life as well.
- anon42545
6
I have been diagnosed with a parathyroid adenoma. Blood tests have shown elevated levels of parathyroid hormone and serum calcium. Is an operation the only solution?
- anon28259
5
I did a colonoscopy last year and was told they found Polyps that was removed. My question is: will the polyps develop again? or its removal ends its emergence?
- kaydup2003
4
To anon 16266 I also have a possible liver adenoma- three radiologists are unsure of the diagnosis, so going for a fourth opinion!- the consultant says that he always recommends resection of adenomas in women who wish to have a baby because of the hormones in pregnancy affecting the adenoma and the risk of hemorrhage- I would ask for referral to a liver specialist for advice and treatment.
- anon17873
3
i'm a 44 yrs old and have been diagnosed more than a year ago with an adenoma on my liver about 3.8 cm. What is the best thing for me to do, since i've learnt that there is a possibility that it can turn malignant? I also wanted to have another baby. will it hinder my desire to have a baby because of the estrogen that it will produce when I get pregnant? Please help me as I am desperate to know your advice.
- anon16266
2
I am wondering what the outcome would be for an 81 year-old male, diagnosed with an Adenoma. I realize that there are many factors, however the Path. report stated Adenoma....I believe in the Colon...
- Enid
1
They often remove adenomas when conducting colonoscopies. Since adenomas can develop into cancer, removing the adenoma reduces the chances of developing colon cancer. A study (by Drs. Neugut and Rundle at the Mailman School of Public Health) showed that people in their 40s had the same amount of adenomas as people in their 50s. I don't think the study group was statistically significant, but further research may support the practice of getting colonoscopies earlier than currently suggested to remove these adenomas earlier on and potentially reduce the incidence of colon cancer.
- pixiedust

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Written by N. Madison
Last Modified: 21 August 2009

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