3-4 mm polyp (left) excised with a forceps (center), to which cautery is applied, leaving a small polypectomy site (right). Grossly this lesion cannot be reliably distinguished from a hyperplastic pseudopolyp vs. a small true polyp (adenoma), and all such lesions should be removed for microscopic analysis. An example is shown below, where a diminutive polyp found in a 61 year-old woman proved to be a tubular adenoma:
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