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<p>Polypoid lesion formed of hyperplastic colonic glands showing marked architectural disruption in the form of branching crypts, base dilatation and deviation of proliferative zones to one side of the gland. Surface serration is marked. There is focal mild moderate infiltration of core by neutrophils, lymphocytes and plasma cells. There is associated focal mild dysplasia. No evidence of atypia or malignancy. Follow up is recommended since such lesion may rarely be precancerous.</p>
<p class="ql-align-justify">Epigastric pain and mucoid stool. Colonoscopy revealed normal ileo-colonoscopic mucosa apart from pedunculated polyp seen at 10 cm from the anal verge.</p>
<p class="ql-align-justify">Polyp measures 1.3x1 cm, totally embedded in one cassette.</p>
<p><strong><em><u>Rectal polypectomy:</u></em></strong></p><ul><li><strong>Traditional pedunculated serrated polyp with associated focal mild dysplasia.</strong></li><li><strong>Negative for malignancy. </strong></li><li><strong>Recommended for follow up. </strong></li></ul>
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