What is villous adenoma?

Do you ever feel like your colon just isn’t getting enough attention? Well, for all of our colonic connoisseurs out there, we have some exciting news: today’s article is all about villous adenomas! But what exactly are these funky growths, and why should you care about them? Don’t worry, my curious comrades—we’ve got the lowdown on this important medical condition.

The Basics

Alrighty, let’s start with the basics. A villous adenoma is a type of polyp that can grow in the colon or rectum (way better than roses, am I right?). These little guys can also go by the name “villous tumors,” which sounds super scary but don’t worry—they’re not as intimidating as they sound. So what do they look like? To put it simply, villous adenomas are kind of like big ol’ bumps that protrude from the lining of your colon or rectum (think hemorrhoids without all the discomfort). They’re usually red or pink in color and have a velvety texture (a true feast for both eyes and touch).

Who Gets Them?

Now that we know what they are, let’s talk about who is most likely to get these special little polyps. While anyone can technically develop a villous adenoma (it’s kind of like getting an invite to an exclusive club no one wants to be a part of… unless you’re really into obscure conditions) , there are certain risk factors that increase your chances.


First up: age. As with many health issues (and life in general), older folks tend to be more at risk for developing villous adenomas(getting older just keeps on giving… us health problems). Specifically, those over 60 years old are most likely to encounter these sneaky little polyps during their lifetime.

Personal and Family History

Another risk factor is personal or family history of colon cancer (because why settle for one gut-related issue when you can have two!). If you’ve had colon cancer in the past, or a family member has, your chances of developing villous adenomas are higher. So… no pressure to maintain that healthy diet and exercise routine or anything.


Alright, so now we know what villous adenomas are and who might be most likely to get them. But how do you know if YOU have these pesky polyps? Well, some people may not experience any symptoms at all (good news for those of us with ridiculously low pain thresholds) . However, there are a few things to look out for:

  • Bleeding from the rectum
  • Blood in stool
  • Change in bowel habits (including diarrhea or constipation)
  • Cramps/pain in stomach
  • Feeling like you need to go even after going

If any of these sound familiar(or if reading about bodily functions just makes you a little too excited), it’s time to visit your doctor!


Okie dokie—so say your doctor thinks there might be something fishy going on down below (and not just because all seafood gives her indigestion). How will she diagnose whether or not it’s a villous adenoma causing trouble? The main way is through a procedure called a colonoscopy.


For those unfamiliar with this intensely glamorous (read: uncomfortable) procedure, let me break it down real quick: basically,your doc inserts an endoscope into your body (which sounds fancy but really means “long tube with camera”) so they can check out your intestinal lining up close and personal-like. Sounds like fun, right? During this process, if they spot any villous adenomas, they’ll take a biopsy to confirm.


A biopsy involves taking a small piece of tissue from the area in question and examining it more closely under a microscope (kind of like when you scrutinize your ex’s social media after they break up with you). This can help determine whether or not the bump is malignant (aka cancerous) or benign.


So what do we do if we find out there’s an unwelcome guest chillin’ in our colon? Well, that depends on a few things: size, location, and how suspicious-looking the polyp seems. Possible treatments include:


If your villous adenoma is smaller than 2cm and confined to just one spot, your doc may choose to simply remove it via something called a “polypectomy.” Basically…they just pluck it out like an unwanted eyebrow hair!


For those who aren’t great candidates for endoscopic removal (for example, if the little guy has just gone WAY too far into Happy Valley at this point), surgery may be necessary. Your doctor will discuss options with you!


Well folks,we’ve certainly learned A LOT about villous adenomas today. From what they look like to who might get them to how doctors diagnose and treat them—now you’re officially ahead of the curve compared to all those other amateurs who don’t know anything beyond basic anatomy (and let me tell ya… nothing feels better than knowing more than other people about odd medical conditions). So go forth my friends—spread the good word about these funky little growths that are just dying for their moment in the spotlight!

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