Colonic tubular adenomas differ from polyps in definition, risk of malignancy, and treatment. Adenomatous polyps are colonic adenomas that manifest as polyps. 1. Definition: Colonic adenoma is a benign tumor, which can be classified into tubular adenoma, choriocapillary tubular adenoma and choriocapillary adenoma according to the different pathologic and histologic structures. Colonic polyp is a general term for bulging lesions in the colon, which can be categorized into adenomatous polyp, inflammatory polyp and hyperplastic polyp according to the nature of the polyp. 2. Risk of malignancy: the malignancy rate of colon adenomas >2cm is >50%, and among the three types of adenomas, the risk of malignancy of tubular adenomas is lower than that of the other two types. Among the other polyps in the colon, inflammatory polyps and hyperplastic polyps have a low risk of malignancy. 3. Treatment: adenomas in colon polyps need to be resected endoscopically, and endoscopic mucosal dissection is also feasible, while inflammatory and hyperplastic polyps generally do not require special treatment; however, inflammatory and hyperplastic polyps are difficult to differentiate from adenomas in appearance, and are generally also resected endoscopically and then examined pathologically. Colon polyps are endoscopic imaging diagnosis, tubular adenomas are mostly pathologic diagnosis, the two concepts are different but intersecting, patients are recommended to consult the doctor in time, and follow the doctor’s instructions for treatment.