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Pathology Diagnostic procedures c7893b26

Biopsy of a small, rounded rectal polyp demonstrates glands and saw tooth crypts composed of a proliferation of goblet and columnar epithelial cells. No atypia is seen. This polyp is best classified as which of the following?

A
Hyperplastic polyp
B
Peutz-Jeghers polyp
C
Tubular adenoma
D
Tubulovillous adenoma
High-Yield Explanation
- Given clinical features suggests the diagnosis of hyperplastic polyp OTHER OPTIONS: * Peutz-Jeghers polyps (choice 'b') have no malignant potential, but tend to be larger & have complex branching pattern. * Tubular adenomas & tubulovillous adenomas, (choices c and d) are true neoplastic polyps containing dysplastic epithelium; the malignant potential of these polyps increases with size & percentage of polyps having villous configuration.

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