The probability of benign endoscopic rectal nodules is very high, whether they are inflammatory polyps, adenomatous polyps, or neuroendocrine tumors, their malignancy depends mainly on the pathological examination after complete excision, and a clear diagnosis is required to know the benignity or malignancy. In general, polyps in the rectal area are most often seen in two cases: 1. Rectal polyps: including inflammatory polyps, mostly seen in other inflammatory conditions that stimulate the colonic mucosa causing nodular hyperplasia or adenomatous polyps, which are benign, neoplastic hyperplasia of the rectal mucosa. Rectal adenomatous polyps have a certain percentage of malignancy, generally in 5%-10%; 2, neuroendocrine tumors: usually their benign and malignant or not depends mainly on their nuclear split image and the depth of infiltration of the intestinal wall.