Many people are afraid when it comes to colon polyps, thinking that they have cancer and have a very stressful work life. Here to tell you not to panic, clinically all from the gastrointestinal mucosal surface protruding into the intestinal cavity of the bulging lesions, before the nature of its pathology is determined, collectively referred to as polyps. From the pathological anatomy can be broadly divided into: adenomatous polyps as the most common type; inflammatory polyps, which are the result of long-term inflammatory stimulation of the intestinal mucosa hyperplasia; misshapen polyps; others, such as hyperplastic polyps formed by mucosal hypertrophy and hyperplasia. Colonic polyps can occur in any part of the intestine. Polyps are single or multiple and can range in size from a few millimeters to several centimeters in diameter, with or without a tip, mostly in the sigmoid colon and rectum, and are mostly adenomas. Childhood polyps are considered to be a type of misshapen tumor and occur mostly under the age of 10 years. Inflammatory polyps are most commonly seen in ulcerative colitis, and can also be caused by intestinal amebiasis, schistosomiasis, intestinal tuberculosis, and clonorchiasis. Clinical manifestations of colorectal polyps Most cases do not have obvious symptoms, and are only found incidentally during physical examination or autopsy. The clinical symptoms are mainly intermittent blood in the stool, mostly bright red or dark red; it is rare to cause hemorrhage. If the polyp is secondary to infection, mucopurulent stool may appear. In individual cases, it may also cause colonic overlap, causing abdominal passage and intestinal obstruction. The clinical manifestations of inflammatory polyps are related to their primary disease. The diagnosis of colorectal polyps The diagnosis of colorectal polyps is not difficult, polyps occurring in the lower and middle rectum can be palpated by rectal palpation, and those occurring within the reach of sigmoidoscopy can be easily diagnosed, polyps located above the sigmoid colon need to be diagnosed by barium enema gas-barium double contrast imaging, or fiber beam colonoscopy. Will colon polyps become cancerous Generally speaking, adenomatous polyps have the tendency to become cancerous, but not all of them will become cancerous. So, what kind of polyps will become cancerous? Firstly, it depends on the polyps’ appearance: the non-neoplastic polyps with small size and wide base are not easy to become malignant; if the polyps with large size and wide base and wide base, they are very likely to become cancerous. Second, look at the growth rate of polyps: benign polyps mostly grow very slowly, if they grow rapidly in a short period of time, the diameter is greater than 2 cm or more, should be alert to cancer. Third, the tissue properties of polyps: simple inflammatory polyps are less likely to become malignant, while adenomatous polyps, especially villous adenomas, are most likely to become colon cancer. Fourth, look at the number of polyps: the cancer rate of a single polyp is low; while the chance of cancer of multiple polyps increases. Fifth, family history: familial adenomatous polyposis FAP, which refers to several people in the same family with colon polyps, is an autosomal dominant disease, caused by a defect in the gene of chromosome 5 in the cell. If one of the parents has polyposis, 50% of the offspring will have a risk of cancer; if both parents have polyposis, the risk of cancer in the offspring can rise to 75%. What to do after finding a polyp in the colon When a rectal polyp is found during a general physical examination, the doctor will recommend a full colonoscopy to check whether there are polyps in other parts of the colon at the same time, and polyp biopsy and polyp removal can be performed through colonoscopy. The results of polyp pathology will indicate the next step in the examination and treatment. Adenomatous polyps have a tendency to become malignant and require prompt surgical or microscopic removal and long-term follow-up. Inflammatory polyps, misshapen polyps, and hyperplastic polyps are usually not malignant. Colonoscopic treatment of colon polyps Removal of colon polyps by colonoscopy with high-frequency electricity or microwave, or laser is a major improvement in the treatment of polyps. Patients avoid the pain of a caesarean section and multiple polyps can be removed at one time. The requirements for polyps suitable for colonoscopic removal are: 1. small polyps without a tip. 2. Polyps with a tip, but their tips.