1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Tubulovillous Adenomas

Tubulovillous adenomas are precancerous colon polyps combining tubular and villous cells. Although benign initially, they carry significant cancer risk if untreated. At GastroDoxs in Houston, Dr. Rishi Chadha provides expert diagnosis, removal plus prevention guidance to safeguard your colon health.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Rishi Chadha

About the Expert

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

What Is Tubulovillous Adenoma?

A tubulovillous adenoma is a colon polyp made up of both tube-shaped (tubular) and finger-like (villous) glandular cells. It develops on the lining of the colon, is not yet cancerous, but carries a significant risk of turning into colorectal cancer over time. It is coded under ICD-10 as D12.6.

Common Causes and Risk Factors

  • Age over 50
  • Family history of colon polyps or colorectal cancer
  • Inflammatory bowel disease (Crohn's disease or ulcerative colitis)
  • High-fat, low-fiber diet
  • Physical inactivity
  • Smoking
  • Excessive alcohol intake

Signs and Symptoms

  • Often none in early stages
  • Blood in your stool or on toilet paper
  • Diarrhea or constipation
  • Abdominal pain or cramps
  • Unexplained weight loss

How Dr. Rishi Diagnoses Tubulovillous Adenomas?

Dr. Chadha uses a step-by-step approach:

Medical History & Exam

He reviews your personal and family history of colon polyps or cancer, lifestyle habits, diet, age and any symptoms you-ve experienced.

Colonoscopy

Using a flexible, camera-equipped scope, Dr. Chadha inspects the entire colon lining and locates any suspicious growths.

Polypectomy & Biopsy

When a polyp is found, it's removed on the spot and sent to the lab for detailed tissue analysis.

Pathology Review

A pathologist examines the sample to determine if it's tubular, villous or tubulovillous and to check for precancerous or cancerous changes.

Dr. Rishi Chadha
Treatment

Treatment Options at GastroDoxs

1. Lifestyle and Diet Tips

  • Eat more fiber-rich foods (fruits, vegetables, whole grains)
  • Cut back on red and processed meats
  • Exercise at least 30 minutes most days
  • Quit smoking and limit alcohol

2. Medications

  • Low-dose aspirin
  • Anti-inflammatory medicine if needed

3. Gentle and Advanced Procedures

  • Polypectomy - Removes the polyp during a colonoscopy
  • Endoscopic Mucosal Resection (EMR) - For larger polyps
  • Cold Snare Polypectomy - Cuts polyps without heat
Rishi Chadha

About the Author

Dr. Rishi Chadha, MD is a board‑certified gastroenterologist who specializes in preventive gastroenterology, colorectal cancer screening, and minimally invasive endoscopic procedures. He completed his fellowship at Sunrise Health GME in Las Vegas and previously trained in internal medicine at St. Vincent’s Medical Center in Connecticut.

Frequently Asked Questions

What is the cancer risk with a tubulovillous adenoma?

Up to 40% if not treated. Early care helps prevent this.

How often do I need a colonoscopy after this?

Usually every 3 years. Dr. Chadha will guide you.

Can healthy eating remove a polyp?

No. But it lowers the risk of new ones.

What are -fragments of tubulovillous adenoma-?

Small pieces taken for lab tests during a biopsy.

Do polyps hurt?

Not usually. They may hurt only if they grow or bleed.

What is the ICD-10 code for this condition?

D12.6

Do I need sedation for polyp removal?

Yes. You'll get light sedation to stay relaxed.

Can polyps come back?

Yes. That's why you need check-ups after treatment.

Is polyp removal covered by insurance?

Most plans do cover this. Our team will confirm it for you.

Where can I learn more about colon polyps?

Visit cancer.org

Related Blogs
Abdominal Pain

Bowel Movements: What's Normal and What's Not?

Read More
Abdominal Pain

The Worst Things You Can Do for Your Gastrointestinal Health

Read More
Abdominal Pain

The Importance of Getting a Colonoscopy

Read More