On colonoscopy which of the following is highly malignant -

• Also referred to as Bannayan-Zonana syndrome, Ruvalcaba-Riley smith syndrome, and Bannayan-Riley-Ruvalcaba syndrome. • Characterized by hamartomatous polyposis and OLD HM-2. OLD HM-2 : • Ocular abnormalities, Lipomas, Developmental abnormalities. • Hashimoto’s thyroiditis, Hyperpigmentation of penis. • Macrocephaly, Mental retardation. • No increased risk of colorectal carcinoma, other gastrointestinal or extraintestinal malignancy.